持续负压封闭引流应用在创伤骨科的护理与体会.pdfVIP

泰山医学院学报 528 JOURNAL OF TAISHAN MEDlCAL CO且EGE VoL 31 No.7 2010 持续负压封闭引流应用在创伤骨科的护理与体会 董振玲李红红徐林王新 (烟台毓璜顶医院创伤手足外科，山东烟台 2剧创lO) 摘要:目的 探讨持续负压封闭引流( vacuum sealing drainage , VSD )应用在创伤骨科的护理体会。方法 使用 负压封阅引流材料和生物透性薄膜对 12 例皮肤软组织缺损的创伤部位行持续负压封闭引流。结果 10 例病人持 续负压引流 5 -7 天后，创面经植皮或直接缝合愈合; 1 例每 5 -10 天更换 VSD 材料 8 次后，创腔变浅改为普通换 药， 7 天后愈合; 1 例双下肢动脉栓塞、右下肢坏瘟病人愈合效果欠佳。结论 持续负压封闭 JI 流不仅具有引流通 畅、不易堵塞管腔的优点，而且能及时清除引流区渗出物和坏死组织，改善局部微循环和促进组织水肿消退，剌激 肉芽组织生长，加速创面愈合，减少护理人员的工作量。 关键词:封闭引流;护理;创伤 中固分类号 :R71 1. 31 文献标识码 :A 文章编号 :1ω4-7115 (2010)07 -0528-03 The nursing and experience of persistent vacuwn sealing drainage in traumatic orthopaedi四 DONG Zhen-ling , U Hong-Iwng , XU μn ， WAN Xin ( Yantai Yuhuangding H回，pital ， Yantai 2剧创泊， China) Abstract: Objective: To discuss the nursing and experience of persistent vacuum sealing drainage (VSD) in traumatic orthopaedics. Methods: Twelve cas四 with serious infection in traumatic parts of body were treated by persistent vacuum sealing drainage wi由 VSD 皿d tegadenn transpar，回t dressing. Results: Ten cases treated by persistent vacuum sealing drainage for 5 to 7 days were cured with skin grafting or direct suturing , one cωe w，国 healed after 由，e change of VSD dress? ing eight times , another c凶e with gangrenosis in the right leg caused by artery embolism in bilateral limbs failed to get good effects. Conclusion: Persistent vacuum sealing dr