股骨头减压术后伤寒杆菌和化脓性链球菌双重感染1例
| 作者: |
1李生贵,
1叶铄,
1张浩强,
1许瑞林,
1周生虎,
1李旭升,
1甄平
1 兰州军区兰州总医院全军骨科中心关节外科，兰州 730050 |
| 通讯: |
叶铄
Email: shuoshuo077@foxmail.com |
| DOI: | 10.3978/j.issn.2095-6959.2017.10.038 |
| 基金: | 国家自然科学基金 81371983 |
摘要
近年髋关节术后感染呈上升趋势，本文探讨多重细菌致髋关节化脓性感染的诊断与治疗方案。通过细菌培养及药敏试验，分析感染细菌种类，进而从全身控制感染到局部一期旷置，随后二期翻修，以获得满意的治疗效果。此病例警示为避免院内感染，控制传染源，阻断细菌感染途径，应重点加强手术室、消供室、手术参与人员的检测、检验，严格执行外科无菌技术操作。
关键词：
骨科手术
细菌感染
无菌术
A case of double infection of Typhoid bacillus and Streptococcus pyogenes after decompression of femoral head
CorrespondingAuthor: YE Shuo Email: shuoshuo077@foxmail.com
DOI: 10.3978/j.issn.2095-6959.2017.10.038
Abstract
The infections after hip repleacement is universal in recent years,this study discusses the plan of diagnosis and treatment for pyogenic infection caused by multiple bacteria in hip repleacement, identifying the bacterial species through culturing bacterial and drug sensitivity test, suppressing systemic infection to first-stage exclusion subsequently, satisfactory treatment results were achieved finally. The cases warning us that the aseptic detection and test of operation room, sterilization and supply room must be implemented strictly and surgical participants must perform aseptic processing strictly to avoid nosocomial infection by controlling the source of infection and blocking the route of bacterial infection.
Keywords：
orthopaedic surgery
bacterial infection
aseptic technique