腹腔双套管持续冲洗负压引流治疗腹腔严重感染的效果

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Abstract Objective To explore the effect of continuous irrigation/suction drainage by the double cannula in the treatment of severe intra-abdominal infections.Methods Retrospective analysis was conducted of the clinical data on 46 patients with severe intra-abdominal infections who had received treatment in Guangdong Provincial Crops Hospital of Chinese People’s Armed Police Force between September 2012 and September 2017. These patients followed the principle of Damage Control Surgery (DCS). After active fluid resuscitation, emergency surgery was performed to control the infection source with a simple surgical method. The intra-abdominal infection and necrotic tissue were cleared, the abdominal cavity extensively washed, continuous irrigation/suction drainage by the double cannula was placed beside the repaired intestinal rupture or anastomotic leakage, followed by postoperative comprehensive ICU treatment. During negative pressure drainage, the color, quantity and character of the double cannula drainage fluid were observed, the blood routine, C-reactive protein and procalcitonin were detected dynamically, and abdominal ultrasound or CT was dynamically performed.Results Among the 46 patients, 3 died (6.5%), one of whom died of septic shock and DIC within 24 hours, and the other two died due to multiple organ failure within 2 d and 5 d after operation. The rest of the cases were cured (93.5%), two of whom had intestinal/anastomotic leakage, one was cured by double cannula continuous irrigation/suction drainage, another one was cured after reoperation. None of these patients with intra-abdominal infection received a second surgery.Conclusions According to the principle of DCS, application of continuous irrigation/suction drainage by the double cannula in the treatment of severe intra-abdominal infection can increase the success rate of treatment, reduce reoperation and mortality.

Key words： severe intra-abdominal infection double cannula continuous irrigation suction drainage damage control surgery

Received: 20 January 2018

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	Articles by authors
	YANG Jie
	SHANG Xianzhang
	LIANG Guoxing
	YIN Cong
	and ZHANG Xusheng

Cite this article:

YANG Jie,SHANG Xianzhang,LIANG Guoxing等. Effect of double cannula continuous irrigation/ suction drainage on treatment of severe intra-abdominal infection[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(5): 453-455.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I5/453

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