创伤后脓毒症的外科控制  

Surgical control of sepsis after trauma

作　　者：丁俊涛[1] 汪学伦[1] 方荣新[1] 

机构地区：[1]成都军区昆明疗养院478疗区外一科,云南昆明650200

出　　处：《中华普外科手术学杂志（电子版）》2011年第1期60-62,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：创伤是较常见的死亡原因。创伤后脓毒症引起的病死率居高不下。要提高创伤后脓毒症的诊治水平,必须明确有关创伤后脓毒症的准确定义以及诊断标准。合理的外科处理能显著降低创伤后脓毒症的发生率,措施包括选择合适的手术时机、清创及引流,另外合理使用抗生素以及控制院内感染亦很重要。本文综述近年来在创伤后脓毒症的外科控制领域的新观念及发展趋势。Trauma is one of the main causes of death.Sepsis after trauma results in high mortality.It is still difficult to treat and its complications include septic shock,multiple organ failure,etc.It is necessary to identify the conception and diagnostic criteria of sepsis after trauma.One of the most important treatments of trauma is reasonable surgery,including the selection of surgery opportunity,debridement and drainage.Other measures include use of antibiotics and control of nosocomial infection.The report outlines the the surgical control of sepsis after trauma as well as recent advances in this field.

关 键 词：创伤损伤 脓毒症 外科手术 

分 类 号：R641[医药卫生—外科学]