5 finger shoes Designed clinical _5436 peritonitis

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Designed clinical application of peritonitis rates

Correlation coefficient r = 0.89 (P <O () 1) mild, moderate and severe group of cases the incidence of postoperative complications and mortality in Table 2. Table 241) 5 side of SP incidence of postoperative complications and mortality in the group re-light stained lung bleeding stroke, Department of infected feces and then cut a few abdominal infection died of infection Korea - and - and the discussion continued after surgeons in the use of antibiotics has been SP habit, the fundamental reason is neglect of the defense capacity of r patients early or mild SP, the diaphragm would be sucked into the lymphatic vessels of bacteria, so bacteria are filtered thoracic lymph nodes or systemic reticuloendothelial system phagocytosis, intra-abdominal residual Bacteria were peritoneal macrophages and exudate neutrophil clearance; and long or severe SP when asked, the host defense can not be completely sterilized. Diaphragmatic lymphatic absorption of the body to promote the spread of bacteria and their toxins, causing bacteremia or infectious systemic inflammatory response syndrome _4J Obviously, for mild sP, surgery has been to eliminate the cause, after drainage of peritoneal lavage or local host enough to clear the remnants of immune peritoneal bacteria after antibiotic treatment do not need; and CentralChinaMedicaIlournal, 2001. Vol25, No5 SP preoperative existence of a serious systemic infection, only clean abdominal surgery, patients must be given antibiotics to control systemic infection. SP for different degrees of selective use of antibiotics is feasible, but the exact division of the severity is not easy Schdn intraoperative findings such as SP according to local circumstances or after onset of time to decide whether to use antibiotics and medication duration, regardless of the host immune force and general condition, obviously can not accurately and objectively reflect the condition. Decision must take into account the severity of host immunity and general condition, which depends on the scoring system to assess accurately. The past 20 years, a variety of scoring systems have been used to determine the severity of SP cases and prognosis. Among them,. APACHE Ⅱ score was considered sP condition and prognosis to determine the best indicator of a 1. Multivariate analysis showed that, APACHE Ⅱ score was an independent prognostic factor SP. However, ACHEII SP score is currently only used to predict prognosis and guide the antibiotic treatment has not been reported. Therefore, our department to design a peritonitis rate method, the strict separation of SP and guide the antibiotic treatment. The data show that self-designed SP score can accurately determine the severity of cases of postoperative wound infection, abdominal infection and mortality of residual peritonitis rates were increased with the increase. After mild cases in this group did not use therapeutic antibiotics, the infection rate and mortality were abdominal residual O, can be seen, peritonitis rates are reasonable, safe, and reliable. It must be stressed, SP, such as with diabetes, liver cirrhosis, was malnutrition, jaundice, uremia, radiotherapy and chemotherapy, and long-term use of steroids and other immunosuppressive state, regardless of severity are susceptible to systemic infection, so ~ law given therapeutic antibiotics peritonitis rates are not within the scope of application.

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