109-2-醫學五-5外科
surgical site infection(SSI)是術後常見的合併症,對於傷口的分類及其SSI的發生率敘述,下列何者錯誤?
Aclean wound: no hollow viscus entered, primary wound closure; SSI發生率:0.1~0.3%
Bclean-contaminated wound: hollow viscus entered but controlled; SSI發生率:5~8%
Ccontaminated wound: uncontrolled spillage from viscus; SSI發生率:20~25%
Ddirty wound: untreated, uncontrolled spillage from viscus; SSI發生率:30~40%
核心考點
手術傷口依污染程度分為 clean、clean-contaminated、contaminated、dirty 四類,SSI 發生率依序遞增。Clean wound 的 SSI 發生率約 1–5%,並非 0.1–0.3%,所以 A 選項的數字過低。