负压创面治疗技术的及护理课件.pptVIP

4、定期消毒皮肤，更换生物透性薄膜。 一般VAC可维持有效引流3～1 0天。超时或泡沫变硬时需及时更换。 5、配合抗感染治疖。VAC使创面处于负压、相对隔离状态，抗厌氧菌治疗不应忽视。 6、每天吸出的渗出物中含大量蛋白，应防止发生负氮平衡。 * There are 6 basic mechanisms of action are shown. With increasing evidence this overview slide may change in the future. Additional mechanisms will be added. In individual wounds specific mechanisms can be more important than others. For example in venous leg ulcers the removal of exudate and reduction of oedema may be more important whereas in flap transfer the increased local perfusion is the factor that is the key player in healing. * The volume of granulation tissue formed was measured at 48hrs after creation of the wound and every 24 hour thereafter. The rate of granulation tissue formation was calculated (volume per day). The difference in rate between V.A.C.? Therapy treated wounds and wounds treated with saline moistened gauze is indicated. Click on hyperlink area near to B. : Bullitt point regarding ‘Intermittent therapy’ to show the mechanism of action: ‘Intermittent Therapy’ * In the beginning, Doctor’s Argenta and Zamierowski were both plastic surgeons from Wake Forest University School of Medicine Dr. Morykwas was, and still is, the Director of Research Argenta and Zamierowski were challenged by chronic wounds (as are all plastic surgeons) and the repeated failures of flaps and grafts Another important part of the system is the foam technology. The most often used foam KCI has is GranuFoam. Granufoam has reticulated (or open) pores between 400-600 microns and is hydrophobic, which helps facilitate exudate removal. The reticulated, Granufoam allows for even distribution of sub-atmospheric pressures across the wound bed., while it effectively removes exudate and infectious materials. GranuFoam有网状孔（开口），疏水，有助于排出渗出物。比VersaFoam密度低，网状结构表明孔之间比较通透。这些特征允许创面气压均衡，适用于大多数伤口类型。 Because of this structure the granufoam can be bridged away from the wound so we can essentially deliver NPWT from a selected anatomical region that is appro