创伤性截肢术后残端伤口不愈合原因分析及预防措施.docVIP

精品论文 参考文献 创伤性截肢术后残端伤口不愈合原因分析及预防措施 蔡雪锋 廖翠东 陆君安 （佛山市顺德区第一人民医院骨科 528300） 【摘要】目的 探讨创伤性截肢术后残端伤口不愈合原因及相应的预防措施。方法　对本院2009年1月-2012年10月80例创伤性截肢术后残端伤口不愈患者资料进行回顾性分析，总结伤口不愈合的原因及处理措施。结果　根据不同伤口情况进行不同的处理，80例患者均痊愈出院，其中25例予残端近段再截肢后痊愈，占31.25%；予3例反复换药后痊愈，占3.75%；32例行引流术后痊愈，占38.75%；4例行植皮术，占5%；7例经穿刺抽液加压包扎术后痊愈，占8.75%；9例行成骨外露者行残端修整术后痊愈，占11.25%。结论　创伤性截肢术后残端伤口不愈合原因多种，根据不同原因予不同处理措施能够更快促进病情恢复。 【关键词】创伤性截肢术 伤口不愈合 原因 预防措施 【中图分类号】R68 【文献标识码】A 【文章编号】2095-1752（2013）16-0317-01 Causeanalysisand preventivemeasuresofunhealed traumaticamputation stump wound 【Abstract】Objective: to investigate the postoperative traumatic amputation stump wound does not heal in reason and the corresponding preventive measures. Methods: our hospital in January 2009 - October 2012, 80 cases of traumatic amputation in patients with postoperative residual wound not more data were retrospectively analyzed, summarized the wound does not heal the cause and the treatment measures. Results: according to different wounds in different treatment, 80 patients were recovered and discharged, 25 cases with residual recently recovered to amputation, accounted for 31.25%; In 3 cases cured after repeated treatment, accounting for 3.75%; 32 after routine drainage healed, accounting for 38.75%; 4 routine skin grafting, accounting for 5%; 7 cases through puncture fluid compression bandage postoperative recovery, accounted for 8.75%; 9 of osteogenesis line exposed the stump dressing in postoperative recovery, 11.25%. Conclusion: traumatic amputation stump wound does not heal in after several reasons, according to the different reasons to different treatment measures can promote clinical progress faster. 【Keywords】 traumatic amputation wound does not heal for preventive measures 近年来随着交通意外事故的增多，创伤性患者的人数逐年增多，如果创伤性伤口污染严重，坏死组织较多造成伤口无法愈合的等情况都应该进行截肢，而截肢术后伤口不愈合的发生率亦较高，反复的伤口感染延长了病程，增加医疗费用，既增加了临床工作者的工作量且加重患者负担[1]。笔者为了探讨创伤性截肢术后残端伤口不愈合原因及相应的预防措施，对本院80例创伤性截肢术后残端伤口不愈患者资料进行回顾性分析，具体如下：