中国实用外科杂志

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泛复杂腹腔感染概念的意义及诊治策略

刘    昌a,blank">张靖垚a,b   

  1. 西安交通大学第一附属医院  a.肝胆外科  b.SICU,陕西西安 710061
  • 出版日期:2019-06-01 发布日期:2019-06-12

  • Online:2019-06-01 Published:2019-06-12

摘要:

腹腔感染是临床上比较常见的疾病类型,是一类疾病的统称。既往指南及综述中主要根据感染的来源将其分为:社区获得性腹腔感染和卫生保健相关腹腔感染,根据感染的范围分为非复杂腹腔感染和复杂腹腔感染。然而随着临床实践的不断深入,以腹腔感染的来源及范围分类与临床诊治难易与转归不相一致。“泛复杂腹腔感染”概念的提出,期望引发专家们对腹腔感染诊疗问题的共同探讨和思考。

关键词: 腹腔感染, 泛复杂腹腔感染, 三级诊疗

Abstract:

Presentation of the concept of “pan-complicated IAIs” and the discussion of the strategy of its diagnosis and treatment        LIU Chang*, ZHANG Jing-yao. *Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
Correspondingauthor:LIU Chang,E-mail:liuchangdoctor@163.com
Abstract    Intra-abdominal infections (IAIs) is common in the clinic which includes a variety of pathological conditions,ranging from uncomplicated appendicitis to fecal peritonitis.IAIs can be classified as healthcare-associated IAIs and community-acquired IAIs according to the circumstance of origin.IAIs can be also classified as uncomplicated IAIs and complicated IAIs according to the extent of infection.However,the circumstance of origin and extent of infection can’t predict the therapy difficulty and clinical outcome.So,the authors first propose the new concept of“pan-complicated IAIs”and elaborate its clinical significance which may evoke the interest of clinicians to pay close attention to the diagnosis and treatment of IAIs.

Key words: intra-abdominal infections, pan-complicated IAIs, hierarchical diagnosis and treatment