[The diagnostic value of wound secretion analysis].
Wound exudation is commonly produced by damaged tissue particles after surgery and by repairing mechanisms initiated by the body. The early postoperative analysis of normal visual, chemical and corpuscular composition of wound exudation reveals a characteristic distribution in normal wound healing. Typical changes in the visual aspect and the corpuscular distribution permit a sooner recognition of wound infection. Thus, instant special management becomes possible being frequently decisive for the final outcome. Our results show a positive correlation between the prolonged decrease of the white blood cell concentration in the wound exudation and established wound infection. The serum analysis of CRP and ESR does not show unequivocal changes. The visual and corpuscular analysis of wound exudation is an important contribution to early diagnostics of wound infection. By means of chemical analysis admixtures to wound exudation can be clearly identified, e.g. the presence of liquor is recognized by the determination of total wound exudation protein.
Bettin
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Orthop. Univ.-Klinik, Münster.
Härle
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D001798:Blood Proteins / Q000032:analysis; D002097:C-Reactive Protein / Q000032:analysis; D003428:Cross Infection / Q000175:diagnosis*; D005122:Exudates and Transudates / Q000032:analysis* / Q000166:cytology; D006801:Humans; D007958:Leukocyte Count; D009985:Orthopedics; D011379:Prognosis; D013530:Surgical Wound Infection / Q000175:diagnosis*
D001798:Blood Proteins; D002097:C-Reactive Protein
Die diagnostische Wertigkeit der Wundsekretanalyse.