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本院术中曾遇到一例大面积烧伤,创面生长毛霉菌的病例。对污染手术间进行了常规处理仍无效,经采取特殊处理后,获得了满意效果。浅谈体会。 患者男性,60岁,以烧伤入院,总面积80％,Ⅲ度25％,深Ⅱ度23％,浅Ⅱ度23％,入院后第十一天行第三次清创削痂植皮术,实验室报告,刨面细菌培养为大量绿脓杆菌,金黄色葡萄球菌及毛霉菌生长。查体:体温40℃,脉博132次/min,呼吸30次/min,血压16/11kPa。整个手术过程3h45min。 处理经过 术后,应用常规方法对该手术间封闭,以2％来苏儿液刷洗,用每平方米l毫升量的福尔马林液,0.5克的高锰酸钾行空气消毒,12小时后对该手术间行细菌培养发现仍有毛霉菌生长。随之,采取通风,再行封闭,彻底刷洗,消毒清扫每个角落,及手术间各种设施,再次培养,无毛霉菌生长。 讨论 毛霉菌属真菌中的一种,在自然界分布极为广
The hospital has encountered a case of extensive burns, mucilage cases of wound growth. Conventional treatment of contaminated surgical procedures is still ineffective, with special treatment, obtained satisfactory results. Talking about the experience. Male, 60 years of age, admitted to the hospital with a burn, the total area of 80%, Ⅲ degree 25%, depth Ⅱ 23%, superficial Ⅱ degree 23%, on the eleventh day after admission, Room report, planed bacterial culture for the large number of Pseudomonas aeruginosa, Staphylococcus aureus and mold growth. Physical examination: body temperature 40 ℃, pulse Bo 132 times / min, breathing 30 times / min, blood pressure 16 / 11kPa. The entire surgical procedure 3h45min. After treatment, the operation should be closed by conventional methods and scrubbed with 2% of sueru liquid, air-sterilized with lml of formalin per square meter and 0.5g of potassium permanganate for 12 hours After the intraoperative bacterial culture was found to still have mold growth. Followed by ventilation, and then closed, thoroughly brushing, disinfection and cleaning every corner, and various facilities between the surgery, training again, no mold growth. Discusses one of the genus Mucor, a very broad distribution in nature