大换药、中换药、小换药（Change dressing, change dressings, change dressings）.doc

大换药、中换药、小换药（Change dressing, change dressings, change dressings） Dressing change ~ large dressing change, change dressing, small change Secret of dressing change Dressing change is the most common thing for surgeons, but it is also the easiest thing to neglect. An aseptic incision because of improper dressing infection; due to the stimulation of alcohol and the necrosis of skin flap; more troublesome is some skin necrosis of the wound, after dressing to long healing; and often through the exposed bone flap to fix. There are many exquisite dressing, just right change, often can decay for magic. I have witnessed internal fixation surgery, due to skin necrosis to steel plate and bone exposure of patients, after a positive change, less than a month, miraculously healed. Another example is the open fracture of the phalanx, cross Kirschner wire, because the skin contusion and necrosis, resulting in extensor tendon exposure, two weeks medicine cure after treatment. Its purpose is: to the rough stone. Since then, more attention has been paid to dressing changes, and the profound and profound admiration for the medicine of the motherland. First, the book does not speak skills. Scope of application of iodophor and alcohol. Iodophor is complexed iodine, which is ineffective or ineffective for greasy wounds or sebaceous glands. While alcohol or iodine can skim, better fixed bacterial protein, while the rich sebaceous gland place more penetrating. So it can be applied around the scalp. However, these two because there is a certain stimulus. So open wound can not be applied. The use of physiological saline is mainly for injection and wetting, because this may be a wide area of wound or merge uneven wound, and hope to be able to take some impurities and infection. Insulin is mainly used for non healing wounds in diabetics. Hypertonic saline to local swelling wound healed, and can achieve partial dehydration, and some say the role of honey. There are local gentamicin needles, mainl