腰椎后路术后切口疼痛与发热的临床观察  

Clinical analysis of incision pain and fever after posterior lumbar surgery

作　　者：任毓之[1] 马建平[1] 

机构地区：[1]山西医科大学附属太钢总医院外科,山西太原030008

出　　处：《中国医药科学》2012年第21期166-166,185,共2页China Medicine And Pharmacy

摘　　要：目的分析腰椎后路手术3d后切口疼痛、体温高与感染有关。方法观察手术3d后切口疼痛与发热体温变化。结果 30例患者,其中29例手术3d后切口疼痛发热趋于正常,1例患者手术3d后切口仍持续深在痛,1周后体温高达38～39℃,切口穿刺证实感染,敞开切口,紧急处理。结论脊柱手术一旦切口感染,后果是灾难性的,意味着手术失败。医生在手术前对感染相关危险因素要有深刻认识,才能防患未然。Objective To analyze the correlation of posterior lumbar surgery 3 days later incision pain, infection and high body temperature. Methods The pain and changes of body temperature were observed after 3 days. Results 3 days later, the incision pain and fever of 29 cases of surgery in 30 patients tended to be normal. 1 case of surgery was continued pain in deep.1 week later, the body temperature elevated to 38-39 ℃ , the patient was confirmed to be infected by the incision puncture. Open the incision and do emergency treatment. Conclusion The consequences of spine surgery wound infection are devastating. It means that the operation failed. The doctors have to have a profound understanding of the risk factors associated with infection before surgery in order to take precautions.

关 键 词：腰椎后路手术 切口疼痛与发热 观察 

分 类 号：R687.3[医药卫生—骨科学]