烧伤患者气管切开拔管后即刻缝合伤口的效果观察  

Observation on Effect of Suture Wound Immediately after Tracheotomy and Extubation in Burn Patients

作　　者：林宙 温裕庆 张燕平 傅丽琴 蓝伟锋 LIN Zhou;WEN Yuqing;ZHANG Yanping;FU Liqin;LAN Weifeng(Department of Burn Plastic and Wound Repair,Longyan First Affiliated)

机构地区：[1]福建医科大学附属龙岩第一医院烧伤整形与创面修复科,福建龙岩364000

出　　处：《中国美容医学》2024年第12期48-50,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨烧伤患者气管切开拔管后即刻行气管切口清创缝合的临床疗效及可行性。方法:选取2015年3月-2022年3月笔者科室收治住院的62例烧伤患者,均行传统气管切开术。经治疗病情稳定不再需要人工气道时,在气切套管拔除后即刻行气管切口清创缝合术修复气管切口。结果:62例患者均在7~9 d一期愈合、拆线,平均7.7 d。其中有2例因气切套管留置时间长,拔管后瘘口大,周围组织脆,缝线切割组织致松脱,经加强缝合后仍一期愈合拆线。术后随访6个月以上,仅3例局部有轻微凹陷,其他愈合良好,局部相对平整,未出现术口感染再次清创缝合病例。结论:烧伤患者气管切开拔管后即刻清创缝合修复,操作简单,愈合快,术后即刻可言语交流,安全有效,手术风险小,可达良好临床效果。Objective To investigate the clinical efficacy and feasibility of gas incision debridement and suture immediately after gas extubation in burn patients.Methods A total of 62 burn patients admitted to the author's department from March 2015 to March 2022 were selected,all of whom underwent traditional tracheotomy.When the condition was stable after treatment and no longer needed artificial airway,the air incision debridement and suture were performed immediately after the removal of the gas cutting cannula.Results All 62 patients healed and had stitches removed in 7-9 days,with an average of 7.7 days.2 cases due to long indwelling time of gas-cut cannula,large fistula after extubation,and brittle surrounding tissue,the tissue was loosened by suture cutting,and the suture was still healed in one stage after strengthened suture.The postoperative followup was more than 6 months,only 3 cases had slight depressed scar,the remaining wounds healed well,the local area was relatively flat,and no cases of re-debridement and suture of surgical infection occurred.Conclusion Immediate debridement and suture repair of burn patients after extubation of gas incision is simple,quick healing,and can communicate with each other immediately after surgery,which is safe and effective,with little surgical risk and good clinical effect.

关 键 词：烧伤 气管切开术 创口愈合 瘢痕 缝合 

分 类 号：R622[医药卫生—整形外科]