林Bobo 发表于 2023-9-21 11:28

外科手术引流口感染属于手术切口感染还是皮肤软组织感...

外科手术部位旁的引流管口感染了,是属于手术切口感染?还是属于皮肤软组织感染?麻烦各位老师帮解答一下{:1_17:}

吴晓梅 发表于 2023-9-21 11:33

属于皮肤软组织感染!手术部位感染要对应手术的。

木兮 发表于 2023-9-21 12:42

皮肤软组织感染。手术部位感染强调的是切口的感染。

huaxihjm 发表于 2023-9-21 13:54

个人认为也应该属于手术切口感染,我们常说手术切口是通过这个切口进行手术,手术结束后就封闭缝合,而引流口的切开后放置引流管,暂时不能缝合的切口,它和常规说的手术切口只是切开的功能不同而已,但其实也是切口,切口分类应该和该手术的切口分类一致。个人意见,仅供参考。

吴晓梅 发表于 2023-9-21 14:23

huaxihjm 发表于 2023-9-21 13:54
个人认为也应该属于手术切口感染,我们常说手术切口是通过这个切口进行手术,手术结束后就封闭缝合,而引流 ...

手术部位感染要对应手术的,引流是没有手术记录的。

怡彩纷呈 发表于 2023-9-21 14:35

一、表浅手术切口感染
    仅限于切口涉及的皮肤和皮下组织,感染发生于术后 30天内。
临床诊断
具有下述两条之一即可诊断。
1.表浅切口有红、肿、热、痛,或有脓性分泌物。
2.临床医师诊断的表浅切口感染。 病原学诊断临床诊断基础上细菌培养阳性。
说明: 1.创口包括外科手术切口和意外伤害所致伤口,为避免混乱,不用"创口感染"一词,与伤口有关感染参见皮肤软组织感染诊断标准。 2.切口缝合针眼处有轻微炎症和少许分泌物不属于切口感染。 3.切口脂肪液化,液体清亮,不属于切口感染。


二、深部手术切口感染
无植入物手术后 30 天内、有植入物(如人工心脏瓣膜、人造血管、机械心脏、人工关节等)术后 1 年内发生的与手术有关并涉及切口深部软组织(深筋膜和肌肉)的感染。
临床诊断符合上述规定,并具有下述四条之一即可诊断。
1.从深部切口引流出或穿刺抽到脓液,感染性手术后引流液除外。
2.自然裂开或由外科医师打开的切口,有脓性分泌物或有发热≥38℃,局部有疼痛或压痛。
3.再次手术探查、经组织病理学或影像学检查发现涉及深部切口脓肿或其它感染证据。
4.临床医师诊断的深部切口感染。 病原学诊断临床诊断基础上,分泌物细菌培养阳性。


三、皮肤感染
临床诊断
符合下述两条之一即可诊断。
1.皮肤有脓性分泌物、脓疱、疖肿等。
2.患者有局部疼痛或压痛,局部红肿或发热,无其它原因解释者。
病原学诊断 临床诊断基础上,符合下述两条之一即可诊断。 1.从感染部位的引流物或抽吸物中培养出病原体。 2.血液或感染组织特异性病原体抗原检测阳性。

摘自《医院感染诊断标准(试行)2001》


综上:老师可以再看看病人情况,结合诊断标准,才能明确诊断。

天儿1 发表于 2023-9-21 15:05

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《医院感染诊断标准》(2001年)手术部位感染最后的说明里有详细叙述!视为深部切口感染

吴晓梅 发表于 2023-9-21 16:31

天儿1 发表于 2023-9-21 15:05
《医院感染诊断标准》(2001年)手术部位感染最后的说明里有详细叙述!视为深部切口感染
...

不是这样的!
《医院感染诊断标准》(2001年)
二、深部手术切口感染
【临床诊断】 符合上述规定,并具有下述四条之一即可诊断。
  1.从深部切口引流出或穿刺抽到脓液,感染性手术后引流液除外。
三、器官(或腔隙)感染
【临床诊断】 符合上述规定,并具有下述三条之一即可诊断。
  1.引流或穿刺有脓液。
【说明】  
  3.经切口引流所致器官(或腔隙)感染,不须再次手术者,应视为深部切口感染。
这是指切口部位引流出脓液,不是指引流口感染。

天儿1 发表于 2023-9-22 11:35

吴晓梅 发表于 2023-9-21 16:31
不是这样的!
《医院感染诊断标准》(2001年)
二、深部手术切口感染


哈哈,没看仔细{:1_8:}

章燕 发表于 2023-11-9 07:33

谢谢老师们的指导。

林Bobo 发表于 2023-11-9 10:57

受教了,感谢各位老师的指导{:1_17:}

csq007 发表于 2023-11-14 10:31

受教了,感谢各位老师的指导

LJMX0211 发表于 2023-11-17 11:30

怡彩纷呈 发表于 2023-9-21 14:35
一、表浅手术切口感染
    仅限于切口涉及的皮肤和皮下组织,感染发生于术后 30天内。
临床诊断


谢谢分享,学习了

紫色飞扬113 发表于 2024-3-5 09:35

吴老师的解答每次都是那么透彻,让人受益匪浅

Asuka02 发表于 2024-6-13 15:37

确实,发人深省,受教了!

LJMX0211 发表于 2024-6-13 15:58

谢谢老师分享,下载学习啦

暖暖花香 发表于 2024-6-13 16:18

引流口是手术切口的一部分,是应为有这个手术才引流的,所以应该属于切口感染。

晴空-万里 发表于 2024-7-2 16:01

今天是有疑问搜索的知识,感谢老师的分享学习了......
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