• 大連醫(yī)科大學(xué)附屬第二醫(yī)院普外科（大連116023）;

每位外科醫(yī)師均會遭遇到外科感染，這是手術(shù)技術(shù)自身所決定了的，外科手術(shù)必然破壞人體宿主抵抗力的第一道防線皮膚和粘膜屏障，使得細(xì)菌得以進(jìn)入體內(nèi)。從外科發(fā)展歷史看，因外科感染而死亡是很常見的，特別是在19世紀(jì)末葉以前，當(dāng)時截肢術(shù)死亡率在25%~90%之間，美國內(nèi)戰(zhàn)時期則為50%左右，這主要是外源性感染所致。但從現(xiàn)代外科學(xué)觀點(diǎn)看，外科感染的內(nèi)涵已發(fā)生了許多重要變化，如醫(yī)院內(nèi)獲得性感染超過了患者原有的感染； 體內(nèi)的內(nèi)源性正常菌群感染多于外源性致病細(xì)菌感染； 外科手術(shù)后的手術(shù)部位感染（surgical site infection，SSI）多于需要外科處理的一般化膿性感染。其中SSI已成為值得關(guān)注的臨床課題。

引用本文： 楊春明. 外科手術(shù)部位感染的防治. 中國普外基礎(chǔ)與臨床雜志, 2002, 9(1): 4-5. doi: 復(fù)制

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  2. 2. Sands K, Vineyard G, Platt R. Surgical site infections occurring after hospital discharge [Ｊ]. J Infect Dis, 1996; 173(4)∶963.
  3. 3. Gurevich I. Surgical site infections: simplifying the definitions [Ｊ]. Infect Control Hosp Epidemiol, 1995; 16(6)∶669.
  4. 4. Dunn DL. Diagnosis and treatment of infection. In: Norton JA, Bollinger RR, Chang AB, et al. ed. Surgery: Basic Science and Clinic Evidence [M]. New York: Springer, 2001∶193-220.
  5. 5. Anonymous.National nasocomial infections surveilance (NNIS) system report,data summery from October 1986-April 1998,issued June 1998 [Ｊ].Am J Infect Control, 1998; 26(5)∶522.
  6. 6. Howard RJ.Surgical infection.In: Schwartz SI,Shires GT,Spencer FC, et al.ed.Principles of Surgery.7th ed [M]. New York: McGrawHill, 1999∶123-139.
  7. 7. Gorecki P, Schein M, Rucinski JC. Antibiotic administration in patients undergoing common surgical procedures in a community teaching hospital: the chaos continues [Ｊ]. World J Surg, 1999; 23(4)∶433.
  8. 8. Anonymous. Antimicrobial prophylaxis in surgery [Ｊ]. Med Lett, 1995; 37(1)∶79.
  9. 9. Meier DE, Nkor SK, Aasa DA, et al. Prospective randomized comparision of two preoperative skin preparation techniques in a developing world country [Ｊ]. World J Surg, 2001; 25(4)∶441.
  10. 10. Osman MO, Jensen SL. Surgical gloves: current problems [Ｊ]. World J Surg, 1999; 23(6)∶630.