凡士林纱布覆盖修复足背部皮肤缺损

目的：探讨凡士林纱布覆盖修复足背部皮肤缺损的疗效。方法选取2010年3月~2012年3月我院收治的16例足背部皮肤缺损患者，清创后均给予凡士林纱布覆盖治疗，术后观察创面愈合程度、感染情况及皮肤感觉恢复情况。结果术后随访18个月，均达愈合标准，术后伤口感染1例，术后1年感觉基本恢复。结论凡士林纱布覆盖修复足背部皮肤缺损疗效确切，方法简单，安全，经济实惠。     

地榆膏油纱治疗烧烫伤114例

目的:探讨地榆膏油纱治疗烧烫伤的临床疗效。方法:选取2018年1—8月在安徽中医药大学第一附属医院造口科接受治疗的114例烧烫伤患者作为研究对象,予以地榆膏油纱外敷,观察患者治疗效果。结果:经过治疗后,114例烧烫伤患者中,1个疗程(3次治疗)治愈患者84例,显效患者22例,无效患者8例,有效率为92.98%。结论:地榆膏油纱治疗烧烫伤疗效显著。     

Unilateral otitis media with effusion caused by retained surgical gauze as an unintended iatrogenic complication of orthognathic surgery: case report

Inadvertent retention of surgical gauze during an operation can have disastrous consequences for both the patient and the surgeon. Several cases have been reported, particularly after abdominal surgery. However, it has never to our knowledge been reported as a leading cause of dysfunction of the Eustachian tube after orthognathic surgery. We recently encountered a patient in whom it presented with unilateral otitis media with an effusion after orthognathic surgery. All surgeons involved with orthognathic surgery should be aware that remnants of surgical gauze after orthognathic surgery can compromise the Eustachian tube and cause otitis media with an effusion.     

霉菌性外耳道炎患者接受耳内镜下外耳道冲洗联合酮康唑纱条治疗的临床效果

目的探讨霉菌性外耳道炎患者接受耳内镜下外耳道冲洗联合酮康唑纱条治疗的临床效果。方法选取2018年2月至2019年3月本院收治的89例霉菌性外耳道炎患者,分为对照组(n=44)与观察组(n=45)。两组均进行耳内镜下外耳道冲洗,对照组在此基础上联合复发水杨酸滴耳治疗,观察组在外耳道冲洗基础上加用酮康唑纱条治疗。比较两组临床疗效和复发率。结果观察组治疗总有效率(93.33%)高于对照组(72.73%),差异有统计学意义(P<0.05);随访8个月,观察组复发率(8.89%)低于对照组(25.00%),差异有统计学意义(P<0.05)。结论耳内镜下外耳道冲洗联合酮康唑纱条治疗霉菌性外耳道炎患者有利于提高治疗有效率,降低疾病复发率。     

扶正生肌油纱条对肛瘘术后创面愈合的影响

目的:观察扶正生肌油纱条对肛瘘术后患者创面愈合的影响。方法:选择 2019年 1月—2021年 1月于南京中医药大学徐州附属医院治疗的 160例行肛瘘手术的低位单纯肛瘘患者 160例,按随机数字表法分为两组,每组 80例,对照组术后给予凡士林纱条治疗,研究组术后给予扶正生肌油纱条治疗,治疗后检测两组患者表皮生长因子( EGF)、血管内皮生长因子( VEGF)、炎症指标、免疫球蛋白指指标,给予视觉模拟评分( VAS)评价,记录两组患者创面愈合时间,比较两组患者临床疗效。结果:研究组 IgG水平高于对照组 [(10.12±3.14)g/L vs (7.52±2.19)g/L],研究组 IgA水平低于对照组 [(1.01±0.30)g/L vs (1.45±0.41)g/L,(P<0.05)],研究组 EGF、VEGF水平 [(7.61±2.18)μg/L、(139.02± 36.32)ng/L vs(5.93±1.26)μg/L、(121.84±33.25)ng/L]高于对照组,差异有统计学意义( P<0.05),研究组 IL-1β水平低于对照组 [(23.66±6.94)ng/L VS (31.31±10.13)ng/L,P<0.05],研究组 IL-10水平高于对照组 [(65.19± 16.06)pg/mL vs(56.61±15.52)pg/mL,P<0.05],研究组患者 VAS评分低于对照组 [(2.73±0.81)分 vs(4.18±1.13)分, P<0.05],研究组患者创面愈合时间低于对照组 [(22.78±6.32)d vs(29.45±8.33)d,P<0.05],研究组患者总有效率( 97%)高于对照组( 76%),差异有统计学意义( P<0.05)。结论:扶正生肌油纱条治疗肛瘘术后患者,可提升患者 EGF、VEGF水平,调控免疫球蛋白分泌,抑制患者炎症,缓解患者疼痛,促进创面愈合,提升临床疗效。     

微波对医用矿物油类物质灭菌效果的实验观察

采用载体定性杀菌试验方法,观察了微波灭菌器对液体石蜡油和凡士林油膏及油纱条的杀菌效果。结果,液体石蜡油和凡士林油膏经650 W微波灭菌器照射20 min和25 min,可全部杀灭嗜热脂肪杆菌芽孢;分别照射25 min和30 min,可全部杀灭枯草杆菌黑色变种芽孢。微波对凡士林油纱条照射50 min,仍不能全部杀灭枯草杆菌黑色变种芽孢。微波照射对液体石蜡油和凡士林油膏可达到灭菌效果。     

Intraconal gauze mass: An unusual complication of orbital fracture repair – a case report

Gossypiboma and textiloma are terms used to describe tumor-like masses caused by retained gauze or surgical sponges after any operation. It is a rare surgical complication, usually difficult to diagnose due to its variable clinical presentation and nonstandard radiological appearance. We describe here a rare case of orbital gossypiboma in a child after surgical correction of an orbital blowout fracture.     

经阴道宫腔内填塞纱条治疗剖宫产术后大出血60例临床分析

目的研究分析经阴道宫腔内填塞纱条治疗剖宫产术后大出血的临床治疗方法和治疗效果。方法回顾性分析2010年5月至2011年12月期间,我院收治的60例剖宫产术后大出血患者的临床资料,按照患者接受治疗期间所接受的治疗方式不同,将60例患者随机分为两组,每组各30例,观察组在常规治疗的基础上采用经阴道宫腔内填塞纱条治疗联合使用米索前列醇治疗。比较两组患者的治疗效果。结果治疗后观察组患者的有效率为93.3%,对照组为76.7%,观察组明显优于对照组,两组间比较差异明显,具有统计学意义,(P<0.05),且观察组患者的治疗期间短于对照组,(P<0.05)。结论经阴道宫腔内填塞纱条治疗剖宫产术后大出血治疗时间短、疗效显著、安全性高,联合米索前列醇治疗效果更佳,值得临床推广。     

Intra-abdominal packing with laparotomy pads and QuikClot™ during damage control laparotomy: A safety analysis

BackgroundIntra-abdominal packing with laparotomy pads (LP) is a common and rapid method for hemorrhage control in critically injured patients. Combat Gauze™ and Trauma Pads™ ([QC] Z-Medica QuikClot^®) are kaolin impregnated hemostatic agents, that in addition to LP, may improve hemorrhage control. While QC packing has been effective in a swine liver injury model, QC remains unstudied for human intra-abdominal use. We hypothesized QC packing during damage control laparotomy (DCL) better controls hemorrhage than standard packing and is safe for intracorporeal use.MethodsA retrospective review (2011–2014) at a Level-I Trauma Center reviewed all patients who underwent DCL with intentionally retained packing. Clinical characteristics, intraoperative and postoperative parameters, and outcomes were compared with respect to packing (LP vs. LP + QC). All complications occurring within the patients’ hospital stays were reviewed. A p ≤ 0.05 was considered significant.Results68 patients underwent DCL with packing; (LP n = 40; LP + QC n = 28). No difference in age, BMI, injury mechanism, ISS, or GCS was detected (Table 1, all p > 0.05). LP + QC patients had a lower systolic blood pressure upon ED presentation and greater blood loss during index laparotomy than LP patients. LP + QC patients received more packed red blood cell and fresh frozen plasma resuscitation during index laparotomy (both p < 0.05). Despite greater physiologic derangement in the LP + QC group, there was no difference in total blood products required after index laparotomy until abdominal closure (LP vs LP + QC; p > 0.05). After a median of 2 days until abdominal closure in both groups, no difference in complications rates attributable to intra-abdominal packing (LP vs LP + QC) was detected.ConclusionWhile the addition of QC to LP packing did not confer additional benefit to standard packing, there was no additional morbidity identified with its use. The surgeons at our institution now select augmented packing with QC for sicker patients, as we believe this may have additional advantage over standard LP packing. A randomized controlled trial is warranted to further evaluate the intra-abdominal use of advanced hemostatic agents, like QC, for both hemostasis and associated morbidity.