关键词: 腹腔感染, 控制感染源, 脓肿穿刺引流, 腹腔开放

Abstract:

Technical difficulties and countermeasures in the source control of intra-abdominal sepsis        ZHU Yi-peng, ZHU Wei-ming. Department of General Surgery，Jinling Hospital, Southeast University, General Hospital of Eastern Military Command of PLA，Nanjing 210002，China
Corresponding author：ZHU Wei-ming,E-mail:juwiming@126.com
Abstract    Source control of intra-abdominal infections is an important part in the treatment of intra-abdominal sepsis，which mainly includes drainage，elimination of necrotic tissue，control of sepsis as well as restoration of anatomy and function of gastrointestinal tract.Source control should be taken immediately after ascertaining intra-abdominal infections.Specific measures of source control include percutaneous drainage，surgery，open abdomen and antimicrobial therapy.The key to percutaneous drainage is accurate location and adequate drainage.When performing surgical drainage，extent of trauma should be restricted while accurate location and avoiding omissions.Accurate timing of open abdomenand definitive abdominal closure，proper selection of temporary abdominal closure method，avoiding complications of OA，and enteral nutrition are essentials of successful definitive abdominal closure and reduction of complications.Effective antimicrobial therapy relies on time，type selection and avoiding antibiotic abuse.Factors should be searched for rigorously after failure to control intra-abdominal sepsis.Comprehensive global treatment is not only the basis but also the countermeasure of source control.

Key words: intra-abdominal infections, source control, percutaneous drainage surgery, open abdomen