腹部手术后腹膜炎:流行病学、临床和治疗方面

M. Iliass, M. Abdelah, M. Gridda, T. Lachguer, Z. Berkaoui, Y. Ouhamou, Pr M. El Ounani, Pr M Echarrab, Pr F Alami, Pr M. Elabsi
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引用次数: 0

摘要

导读:术后腹膜炎是腹部手术后发生的严重并发症,通常发生在消化道。与所有与护理相关的疾病一样,其预后往往很严重,其特点是发病率高,在重症监护和住院时间长,并可能有严重的后遗症。材料与方法:本研究回顾性分析了2021年1月至2022年11月在内脏外科急诊科有通道的术后腹膜炎患者。结果:2021年1月至2022年11月共手术1493例,其中术后腹膜炎14例,占0.9%。14例患者中,女性4例(28.6%),男性10例(71.4%),性别比为2.5。闭塞是主要病理。多因素分析显示,年龄、就诊时间与并发症的发生有显著关系。结论:PPO仍有较高的死亡率,但由于有效的内科和外科治疗,死亡率继续下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative Peritonitis after Abdominal Surgery: Epidemiological, Clinical and Therapeutic Aspects
Introduction: Postoperative peritonitis is a serious complication occurring after abdominal surgery, usually digestive. Like all diseases associated with care, its prognosis is often severe, marked by high morbidity, prolonged stays in intensive care and in hospital, and potentially serious sequelae. Material and Methods: This is a retrospective study of patients operated on in the visceral surgical emergency department with a passage to the visceral surgical emergency department for postoperative peritonitis from January 2021 to November 2022. Results: From January 2021 to November 2022 we operated 1493 patients including 14 postoperative peritonitis, i.e. 0.9%. Among the 14 patients: 4 were women (28.6%) and 10 were men (71.4%) with a sex ratio of 2.5. Occlusions were the dominant pathology. The multivariate analysis showed a significant relationship between age, delay before consultation and the occurrence of complications. Conclusion: PPO still have a high mortality but which continues to decrease thanks to an effective medical and surgical management.
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