骨筋膜室综合征切开减张异体皮覆盖的临床应用  

Clinic application of the allogeneic skin for the cut of the compartment syndrome

作　　者：张林清[1] 王坤[1] 吴学田[1] 赵焕童[1] 冯彩霞[1] 

机构地区：[1]潍坊市人民医院烧伤整形科,261041

出　　处：《中国实用医药》2008年第12期14-15,共2页China Practical Medicine

摘　　要：目的观察骨筋膜室综合征切开减张创面使用低温储存异体皮覆盖的治疗效果。方法选择24例四肢骨折、电烧伤合并骨筋膜室综合征患者,将其分为两组,治疗组切开减张后创面敷以低温储存异体皮;对照组切开减张后创面外敷油纱脱脂棉纱布包扎。术后观察患者体温、脉搏、尿量、输液量、局部渗出量、血浆蛋白变化。结果异体皮覆盖组其渗液量较油纱覆盖纱布包扎组明显减少,两组渗液量比较差异有统计学意义(P<0.01),其余各项指标异体皮覆盖组均优于对照组。结论骨筋膜室综合征切开减张创面使用异体皮覆盖,可以减少创面渗出量,保持水电解质平衡,避免蛋白丢失,减轻疼痛,可使病情尽快稳定,减少创面换药操作。Objective Be observed to the therapeutic efficacy of the low temperature deposited allogeneic skin for the cut of the compartment syndrome. Methods 24 patients who suffered from the fracture of limb or electrical injuries with the complication of compartment syndrome, they were divided into two groups, the treatment group patients were covered with the low temperature deposited allogeneic skin for the cut of the open decompression, the control group were covered with petrolatum gauze. The changes of temperature, pulse, urine volume, local exudation quantity and plasma protein were observed after operation. Results The local exudation of treatment group had a significant decrease when compared with the control group （ P 〈 0. 01 ）. Conclusion The cover with the allogeneic skin for the cut of the osteofascial compartment syndrome can reduce the local exudation of the wound, keep the Water-electrolyte balance, avoid protein deprived and lighten ache, moreover, ＇it can stabilize pathogenetic condition and reduce the number of times of change dressings.

关 键 词：骨筋膜室综合征 异体皮 切开减张 

分 类 号：R686.3[医药卫生—骨科学] R644.05[医药卫生—外科学]