持续负压封闭引流在开放性损伤及感染伤口的应用  

Application of continuous negative pressure of the vacuum sealing drainage dressing＇s aspiration in the open infected wound

作　　者：吴荣博[1] 王明鑫[1] 刘德昌[1] 孟德强[1] 高振巢[1] 熊敏[1] 

机构地区：[1]复旦大学附属金山医院骨科,上海200540

出　　处：《中国综合临床》2013年第6期632-634,共3页Clinical Medicine of China

摘　　要：目的探讨持续负压封闭引流在开放性损伤及骨科术后伤口感染的应用及效果。方法回顾性分析我院32例开放性损伤和骨科术后伤口感染患者持续负压封闭引流后的疗效及有关问题。结果32例患者持续负压封闭引流持续负压吸引后，感染创面得到良好控制，皮片植皮成活，伤口较快愈合。结论持续负压封闭引流是治疗开放性损伤及骨科术后伤口感染的有效方法，可以作为开放性损伤及骨科术后伤口感染的常规方法。对有血管断裂或缺损的患者，行血管移植修补术后仍有皮肤缺损者，只要手术中将血管的吻合口用周围皮肤软组织覆盖，仍可以持续负压封闭引流覆盖创面以预防感染。Objective To investigate the effects of the treatment of open injury and orthopedic postoperative wound infections with Vacuum Sealing Drainage. Methods Retrospective analysis of the clinical results of 32 patients with open injury or orthopedic postoperative wound infections in our hospital. Results Follow the indications and contraindications strictly and ensure right pressure, all the infection of wounds was controlled, and split skin graft survived. Without the package and pressurized fixation, the wounds healed better. Conclusion Vacuum Sealing Drainage can be considered one of the effective methods to treat the open injury or orthopedic postoperative wound infections and is worthy to be carried out as a routine. For patients with vascular rupture or defect, when there was still skin defects after vascular graft repair, as long as covered vascular anastomosis with the surrounding skin and soft tissue during the operation,there was still can use closed vacuum sealing drainage to cover the wound to prevent infection.

关 键 词：持续负压封闭引流 开放性损伤 外科感染 

分 类 号：R473.6[医药卫生—护理学]