负压封闭引流在地震伤员截肢术后感染创面治疗中的应用
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摘要
【目的】观察在地震伤员截肢术后大面积感染创面治疗中负压封闭引流的应用及临床疗效。【方法】使用负压封闭引流技术(vacuumsealing drainage,VSD)对7例地震伤员截肢术后感染创面行持续负压封闭引流治疗。【结果】7例患者感染创面经使用负压封闭引流7~26 d,平均13 d,感染得到控制,未出现全身毒性反应,创面行细菌培养阴性。Ⅱ期缝合4例,Ⅱ期植皮3例,创面植皮1次成活。【结论】负压封闭引流技术在临床上治疗截肢术后大面积感染创面取得良好的效果。
Objective To observe the clinical efficacy of vacuum sealing drainage(VSD) in the treatment of large-area wound infection of earthquake casualty after amputation.Methods Seven patients with large-area wound infection of earthquake casualty after amputation received sustained VSD.Results After VSD for 7~26 days,with an average of 13 days,the wound infection in the 7 patients was controlled.No systemic toxicity was found.The result of wound bacterial culture was negative.Of the 7 patients,4 received phase Ⅱ suture,3 received phase Ⅱ skin graft,and all of the grafted skin survived.Conclusion Vacuum sealing drainage exerts certain effect in the treatment of large-area wound infection of earthquake casualty after amputation.
Objective To observe the clinical efficacy of vacuum sealing drainage(VSD) in the treatment of large-area wound infection of earthquake casualty after amputation.Methods Seven patients with large-area wound infection of earthquake casualty after amputation received sustained VSD.Results After VSD for 7~26 days,with an average of 13 days,the wound infection in the 7 patients was controlled.No systemic toxicity was found.The result of wound bacterial culture was negative.Of the 7 patients,4 received phase Ⅱ suture,3 received phase Ⅱ skin graft,and all of the grafted skin survived.Conclusion Vacuum sealing drainage exerts certain effect in the treatment of large-area wound infection of earthquake casualty after amputation.
引文
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[5]王富昆,姚元章.负压封闭治疗软组织创面46例[J].人民军医,2002,45(10):572.
[6]Fleischmann W,Lang E,Kinzl L.Vacuum assisted wound closureafter dermatofasciotomy of the lower extremity[J].Unfallchirurg,1996,99(4):283.
[7]Mullner T,Mrkonjic L,Kwasny O,et al.The use of negative pres-sure to promote the healing of tissue defects[J].Br J PlasticSurg,1997,50(3):194.
[8]裘华德.负压封闭引流技术[M].北京:人民卫生出版社,2003:54-57.
[2]Doss M,Martens S,Wood J P,et a1.Vacuum-assisted suctiondrainage versus conventional treatment in the management ofpoststernotomy osteomyelitis[J].Eur J Cardiothorac Surg,2002,22(6):934.
[3]Cedidi Cberger A,lngiarmi G.The two-stage concept with temporarysubcutaneous implantation of a vacuum sealing system:Analternative surgical approach in infected partial abdominal defectsafter lapratomy or abdominoplasty[J].Eur J Med Res,2002,7(9):399.
[4]裘华德,王彦峰.负压封闭引流技术介绍[J].中国实用外科杂志,1998,18(4):233.
[5]王富昆,姚元章.负压封闭治疗软组织创面46例[J].人民军医,2002,45(10):572.
[6]Fleischmann W,Lang E,Kinzl L.Vacuum assisted wound closureafter dermatofasciotomy of the lower extremity[J].Unfallchirurg,1996,99(4):283.
[7]Mullner T,Mrkonjic L,Kwasny O,et al.The use of negative pres-sure to promote the healing of tissue defects[J].Br J PlasticSurg,1997,50(3):194.
[8]裘华德.负压封闭引流技术[M].北京:人民卫生出版社,2003:54-57.
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