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Povidone-iodine and 0.1% chlorhexidine treatment of chronic Ulcer
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Povidone-iodine and 0.1% chlorhexidine treatment of chronic Ulcer
[Keywords:] povidone-iodine; chlorhexidine; chronic ulcer
Chronic ulcers is a common disease, its causes are many methods in clinical treatment of many hospital treatment in the use of povidone-iodine and 0.1% chlorhexidine treatment of chronic ulcer cases, 30 patients have achieved good results are summarized below.
1 Clinical data
1.1 General information on 30 cases of this group of patients, 20 males and 10 females, aged 5 to 70 years, mean age 38 years; the longest duration of 10 months, the shortest 40 days; 6 cases with the largest area of 10cm 9cm, the minimum area of 1cm 2cm, were treated to the healing of skin wounds. the formation of ulcers due to a residual burn wounds in 6 cases, 16 cases of traumatic wound infection, 4 cases of diabetic ulcers, pressure sore hip infection in 4 cases.
1.2 The results of 6 cases of ulcer drugs decreased 2 weeks after discharge, granulation tissue from the periphery to the central growth of granulation tissue after 4 weeks long flat wound, after 5 weeks of basic wound healing, follow-up wound pigmentation without scarring .24 patients with small ulcers were treated and short course, a good wound healing, patients were followed up with satisfactory result.
2 treatment
We focused on the patient’s age, disease duration, disease and ulcer area, take a different approach to the initial hospitalization and treatment of serious wound infection, necrosis of the organizers of normal saline mixed with 0.1% chlorhexidine rinse the wound alternately on the stem too thick aseptic necrosis of the tissue under the clear.
2.1 MEBT larger of the treatment for ulcers, dressing the part of inconvenience, time is short and ulcer wound exudates more. The specific method first clean the wound with 0.1% chlorhexidine to be dry, take the appropriate povidone iodine directly applied to the wound, the thickness of about 2mm, 2 ~ 3
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