The Experience In The Application Of Continuous Double Canula Douche And Drain Under Negative Pressure In The Patients With Intra-Abdomianl Infection

Objective To Summarize the efficancy of the application of continuous LI double canula douche and drain under negative pressure in the22patients with intra-abdominal infection who were admitted from2012June to2014February to Hepatobiliary Department of the First Affiliated Hospital of Guangxi Medical University.Methods From2012June to2014February,22patients who were admitted to hepatobiliary surgery of the First Affiliated Hospital of Guangxi Medical University due to postoperative intra-abdominal infection or traumatic abdominal infection, included18males and4females, age between15to73years (mean43years). All these22patients were got diagnosis by thorough history taking, physical examination, abdominal ultrasound,CT scan combined with abdominal paracentesis. Among them,15patients underwent ultrasound-guided percutaneous catheter drainage,7patients underwent double catheter after peritoneal lavage, and4out of22patients who combined with abdominal compartment syndrome(ACS) underwent open abdomen.Results All22patients underwent continuous double cathether douche and drain under negative pressure with mean catheter placing time of34days(3-93days).12patients complicated with chest infection,4with multi organ disorder syndrome (MODS),4with ACS,4with gastrointestinal (GI) bleeding (3for upper GI bleeding and1for lower GI bleeding),2with retroperitoneal hematoma,2with septic shock, and2with rib fracture. The efficancy of treatment are:15cases cured and discharged(68.1%of the total number of cases),2cases (9.1%of the total number of cases) died, five cases signed and left(22.8%of the total number of cases).Conclusion For the patients with intra-abdominal infections, especially in severe abdominal infections, comprehensive treatment which included the supportive treatment of vital signs, maintenance of multi organ function,, antibiotic threapy, nutritional support, application of continuous double catheter douche and drain under negative pressure, can reduce the intra-abdominal infection, promote local growth of granulation tissue, reduce the incidence of complications and improve the curative rate of intra-abdominal infections.