0.2% tinidazole plus α-chymotrypsin treatment of incision exudate can reduce psychological burden and hospitalization costs, but also decrease conflicts between doctors and patients. Key words: tinidazole; chymotrypsin; incision exudate [CLC] R978. I [Document code] A [article number] 1 673-97O1 (2o07) 18 100-01 Surgical incision exudate, including suppuration and fat liquefaction, is clinically more common. Usually in the handling of the incision open drainage, the incision wet compress antibiotics such as gentamicin, our 70 cases postoperative cut 13 effusion in patients with O. 2% tinidazole plus d chymotrypsin incision local injection, and the results were satisfactory. They are reported below.
1.1 General Materials and Methods
From May 1997 to May 2005, there were 70 cases of lower abdominal incision exudate (including fat liquefaction, purulent) in the department of surgery, ages 28 to 56 years, of which 8 incisional swellings had squeezing visible yellow pus-like logistics out.
1.2 Methods
In the postoperative period, for 70 patients, 0.2% tinidazole per 10mL plus d a chymotrypsin 8000U was injected on both sides of the exudate incision. After injection, squeeze out a little until the incision exudate date.
2 Results
Of the 70 patients, the total cure rate was 97.14%, among which incision redness, swelling disappeared, and 8 cases out of yellow pus were cured at 100%. See Table I.
Table 1: Outcomes of 70 Patients
Tinidazole is effective against most obligate anaerobes, especially used for anaerobic microorganisms in anaerobic Gram-positive bacteria and negative system with local infection, such as abdominal gynecology, surgical wounds, skin and soft tissue, chest, urinary tract and other parts of the infection, and sepsis, intestinal or genitourinary tract gross trichomoniasis and intestinal and hepatic amoebiasis and so on. D a chymotrypsin is a protease that can rapidly break down proteins for wound healing after trauma or surgery, anti-inflammatory and prevent local edema, hemorrhage, and edema after breast surgery III. The two drugs have anti-inflammatory properties, promote rotting, and play a role in wound healing. The injected amount of about 100 Chinese doctor CHlNAMODERNDOCT0R (amount limited to) can play pus or exudate within the incision out of the outer skin, and then slightly squeeze the wound, out of some of the liquid, the remaining injection liquid left in the incision plays anti-inflammatory, promotes wound healing, and does not require suture removal during treatment until no effusion before stitches head.
Postoperative incision exudate in clinical practice is more common. Conventional treatment includes incision exudate suture, separation and washing of the wound, gauze drainage, dressing changes [31], 50% glucose plus insulin in the incision of local injection and gentamicin gauze wet dressing, wound light, according to the bacterial culture and susceptibility of the incision secretions selected antibiotics; if the incision is purulent, stitches underwent debridement. The results of the traditional conservative approach show a total cure rate of 26.70 percent, the incision exudate range more than I / 2 in the cure rate was I. I8%, purulent incision invalid, requires incision debridement Suo.
After a bold attempt on 70 cases of incision exudate, injecting 8000U chymotrypsin per 10mL of 0.2% tinidazole on both sides of the exudate incision, slightly squeezing the wound, out of some of the liquid, the remaining injection liquid in the incision plays anti-inflammatory and promotes wound healing effect until the incision exudate until the high cure rate after treatment, including incision exudate less than I / 2 elderly cure rate was 100%, greater than I / 2 by cure rate of 93I3%.
In processing need to be patient and careful, every Et 1 general effusion of less than I / 3 by about I or 2 injections can be cured, the exudate is greater than I / 3 less than I / 2 by about 3 times cured, the exudate is greater than about I / 2 cured about 4 times injection, the interval with the better of the incision instrument irradiation with electromagnetic therapy in individual patients after injection need to deal with minor incision pain. This method is convenient, shortens patient hospital days and hospital costs, reduces patient pain, eliminates the fear brought to patients and their families by opening the incision for debridement, while reducing the conflicts between doctors and patients through the handling of 70 patients' incision infiltration fluid, mainly explaining the local processing-based, systemic administration of times.