Closed continuous suction injury in the earthquake the treatment of wound infection.docVIP

 PAGE \* MERGEFORMAT 6 Closed continuous suction injury in the earthquake the treatment of wound infection Of: Li Yongzhong, Li Yunfei, Moris Topaz, Chen Li, Luo Dian Qing, Li Hui Tan [Abstract] Earthquake damage in 26 cases of wound infection with the wounded, the use of closed suction drainage in the treatment continued 3 to 10 days, skin graft or direct suture of the wound, skin grafting continuous closed suction wound to treatment, Wound healing. closed continuous negative pressure therapy can accelerate wound infection attract necrotic tissue loss, reducing secretions, effective control of infection and promote granulation and wound healing; without packing on the skin graft wound bandaged dressing can reduce the pain of the wounded, reduce the workload of medical staff to reduce use of antibiotics to reduce amputation rates. [Keywords:] earthquake; trauma; infection; suction Skin and soft tissue defect and wound infection, wound wounded in the earthquake is very common. Our hospital located in the “5.12 Wenchuan Earthquake” disaster area, since May 18, 2008 ~ June 20, the use of closed suction treatment of continuous seismic injury casualty wound infection, 26 cases achieved satisfactory results. Clinical data 1 General Information of this group 26 cases, male 15, female 11 cases; aged 7 to 65 years, mean 22.5 years old. Skin necrosis in 12 cases, seven cases of skin avulsion, amputation stump wounds after the 2 cases, skin laceration 5 cases, all wounds were infected; which craniocerebral injury in 4 cases, fractures in 18 cases, bone and tendon exposure in 4 cases. accept the treatment of closed suction time: 6 to 21 days after injury, an average of 12.5 days. 2 treatments at the bedside or operating room is simple debridement, removal of necrotic tissue and debris, hydrogen peroxide, chlorhexidine, metronidazole, normal saline. Deposited within the wound sustained release chlorhexidine dressings, then medical sterile thin layer o