【摘要】 目的探讨应急状况下妇产科急诊手术的实施及安全性。方法收集22例破坏性大地震后在临时手术场地及地震棚内救治的妇科及产科有创急诊患者,对其手术的实施及安全性加以分析。结果22例患者中,11例开腹手术在特定相对清洁环境进行手术,11例在地震棚内顺产患者均行会阴侧切。22例患者在常规使用抗生素情况下,其术后体温、血象均在正常范围,无一例出现感染征象;1例阴道残端用丝线缝合的患者术后随访残端愈合良好。结论在破坏性大地震后,应注意手术场地划分,减少可能引起术后感染的高危因素;常规预防使用抗生素,在手术环境的改变的情况下任然能预防患者术后的感染;在无可吸收线的情况下,丝线缝合阴道残端也可作为妇科医师的一种选择。更多还原

【Abstract】 Objective To search and practice of obstetrics and gynaecology emergency operation in stringency state.Methods Rstrospectively analyzed 22 emergency patients who remedy in temporary operating room and earthquake shelf,including 11 spontaneous labor and 11 emergency operation.Results 22 patients routine use prophylactic antibiotics of emergency operation,the recovery time of degree of postoperative temperature and white blood cell count are normal,without postoperative infection.1 case recovery were after suturation vagina stump with silk.Conclusions We should pay attention to distribute clean operating room and contaminate operating room,reduce high risk factor of postoperative infectio,routine use prophylactic antibiotics of emergency operation after destructiv earthquake.Using suture silk to sew up vagina stump may be a choice for physician.更多还原