应用封闭负压引流技术治疗四肢地震创伤的临床疗效分析
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摘要
[目的]探讨应用封闭负压引流技术治疗四肢地震创伤的临床疗效。[方法]四川地震伤员99人,合并四肢开放性损伤21人23处,均在首次伤口换药时采取创面分泌物做细菌培养及药敏试验,创面彻底行清创后应用一次性封闭负压引流敷料覆盖创面,根据药敏结果选用敏感抗生素抗感染治疗,待创面清洁肉芽组织新鲜后采用直接缝合、游离植皮、邻位皮瓣和带蒂皮瓣转移闭合创面。[结果]本组伤员21人经治疗后创面全部愈合。[结论]地震后四肢开放伤损伤应用封闭负压引流技术可以促进炎症消退及伤口肉芽组织生长,为Ⅱ期闭合伤口提供良好的软组织条件,可加速创面闭合,缩短肢体功能恢复时间。
引文
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[6]裘华德.负压封闭引流技术[M].北京:人民卫生出版社,2003,32-82.
[2]Kurt N,K櫣C櫣k HF,Celik G,et al.Evaluation of patients wounded inthe 17 August 1999 Marmara Earthquake[J].Ulus Travma Derg,2001,1:49-51.
[3]Chen SZ,Li J,Li XY,et al.Efects of assisted closure on wound mi-crocirculation:an experimental study[J].Asian J Surg,2005,3:211-217.
[4]Morykwas MJ,Simpson J,Punger K,et al.Vacuum-assisted closure:state of basic research and physiologic foundation[J].Plast ReconstrSurg,2006,7:121-126.
[5]Kilpadi DV,Bower CE,Resde CC,et al.Effect of vacuum-assistedclosure therapy on early systemic cytokine levels in a swine model[J].Wound Repair Regen,2006,2:210-215.
[6]裘华德.负压封闭引流技术[M].北京:人民卫生出版社,2003,32-82.
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