急诊负压封闭引流术治疗挤压综合征  

Treatment of crush syndrome by emergency vacuum sealing drainage

作　　者：杨帆[1] 白祥军[1] 易成腊[1] 李占飞[1] 杨朝晖[1] 李波[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院创伤外科,武汉430030

出　　处：《中华创伤杂志》2009年第2期103-106,共4页Chinese Journal of Trauma

摘　　要：目的探讨急诊应用负压封闭引流术（vacuum sealing drainage，VSD）对挤压综合征（crush syndrome，CS）的治疗作用。方法随机筛选出我院创伤外科收治的102例挤压伤患者，并分为急诊VSD组（50例），延迟VSD组（22例）和非VSD组（30例），分析各组间VSD术后CS相关指标的变化。结果患者术后的生命征、尿量、实验室检查结果、CS发生率、并发症、病死率等评价指标在急诊VSD组均较延迟VSD组和非VSD组显著好转（P〈0．05）；急诊VSD组和延迟VSD组患者术后并发症、住院时间、病死率等指标较非VSD组显著好转（P〈0．05）。结论早期、急诊应用VSD具有吸附坏死组织和创面渗出物、持续创面主动引流和预防感染等作用，对预防和治疗挤压综合征具有显著效果。Objective To investigate the efficacy of emergency vacuum sealing drainage （VSD） in the treatment of crush syndrome. Methods A total of 102 patients with crush injury were randomly screened out and divided into emergency VSD group （n = 50）, delayed VSD group （n = 22） and control group （ n = 30）. The variances of indices of crush syndrome after VSD between three groups were analyzed. Results The vital sign, urine volume, laboratory examination results were improved and the incidence rate of crush syndrome, complications and mortality rate were significantly decreased in emergency VSD group than those in delayed VSD group and control group （P 〈 0.05 ）. For patients with crush syndrome, the incidence of complications, duration of hospital stay and mortality rate were significantly decreased in emergency VSD group and delayed VSD group than those in control group （ P 〈 0.05 ）. Conclusion Emergency VSD can suck the exudate of the necrotic tissues and the wounds, maintain draining wounds and prevent infection and hence is helpful to prevent and treat the crush syndrome.

关 键 词：挤压综合征 负压封闭引流术 临床分析 治疗方法 

分 类 号：R64[医药卫生—外科学]