四肢骨折内固定术后感染的细菌分布、耐药分析及防治措施  

Clinical analysis、distribution of bacterium、measure of prevention and cure after internal fixation of limbs fracture.

作　　者：唐良华[1] 王爱民[1] 杜全印[1] 郭庆山[1] 胡波[1] 王子明[1] 吴思宇[1] 覃旭[2] 

机构地区：[1]第三军医大学大坪医院野战外科研究所骨科,重庆400042 [2]成都市第三人民医院康复科,四川成都610031

出　　处：《四川医学》2008年第6期679-682,共4页Sichuan Medical Journal

摘　　要：目的探讨骨科四肢骨折内固定术后感染的细菌分布、耐药分析及防治措施。方法对2003～2007年的79例行骨科内固定术后导致感染的患者进行回顾性分析。结果内固定术后出现感染的患者共79例;分泌物送检培养结果：有51例培养出细菌,培养阳性率为64.56%,共培养出细菌共143株：革兰阴性杆菌100株,革兰阳性球菌43株。结论创伤后为防治感染的出现,清创是关键,同时要注意损伤控制原则、全身用药等,选择合适的固定方法,使用载抗生素内植入物来进行治疗是未来的研究方向。Objective To research the clinical Analysis,distribution of bacterium,measure of prevention and cure after internal fixation of Limbs fracture. Methods Retrospective analysis was performed in 79 patients with infection after internal fixation, who were admitted to the department of orthopedics between 2003 and 2007. Results The cases who were infected after internal fixation were 79; the result of excretcion culture ：51 examples were cultured bacteria, the positive rate of cultivate was 64.56 per cent, and the amount of bacteria was 143 ：Gram-Negative bacilus was 100,and Cram-positive coccus was 43 .Conclusion It is important to debridement of order to prevent infection after injury, pay attention to the principle of damage control,methods of fixation and systemic administration et al, and it is the direction of treatment and research to use loaded-antibiotics-internal fixation.

关 键 词：骨折内固定 感染 

分 类 号：R687.3[医药卫生—骨科学]