| 负压封闭引流技术在地震伤骨筋膜室综合征中的应用 |
| |
| 引用本文： | 黄强,沈彬,杨静,黄富国,屠重棋,周宗科,康鹏德,裴福兴. 负压封闭引流技术在地震伤骨筋膜室综合征中的应用[J]. 中国骨与关节损伤杂志, 2010, 25(6) |
| |
| 作者姓名： | 黄强 沈彬 杨静 黄富国 屠重棋 周宗科 康鹏德 裴福兴 |
| |
| 作者单位： | 四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041;四川大学华西医院骨科,成都市,610041 |
| |
| 摘 要： | 目的探讨负压封闭式引流(VSD)技术在5.12汶川大地震所致骨筋膜室综合征切开减压中的应用。方法回顾性研究了自2008年5月12日～2008年6月1日,接受VSD治疗的15例汶川地震伤员18个患肢。术后记录引流量,肢体肿胀消退情况以及全身发热等症状。根据肢体肿胀程度及肉芽生长情况,采用延期缝合、植皮或者皮瓣转移覆盖创面。结果 15例术后病情得到迅速控制,负压引流量在520～2360ml之间。术后7d内有10个创面肿胀消退,肉芽组织新鲜。余下8个创面经过第二次更换VSD敷料,5处筋膜室切开减压创面肿胀消退,肉芽新鲜。经第三次更换VSD敷料后余下3处创面肿胀消退,肉芽新鲜,予闭合创口。上述切开减压创面无一例发生感染。结论地震致骨筋膜室综合征经早期切开减压结合VSD治疗能快速覆盖创面,减少污染,防止继发感染;能有效引流分泌物,减少毒素吸收;减轻肢体水肿,促进新鲜肉芽生长,利于创面修复。
|
| 关 键 词： | 负压封闭引流 地震伤 骨筋膜室综合征 |
Application of Vacuum Sealing Drainage for Osteofascial Compartment Syndrome of Injured Extremities in Wenchuan Earth-quake |
| |
| Huang Qiang,Shen Bin,Yang Jing,et al.. Application of Vacuum Sealing Drainage for Osteofascial Compartment Syndrome of Injured Extremities in Wenchuan Earth-quake[J]. Chinese Journal of Bone and Joint Injury, 2010, 25(6) |
| |
| Authors: | Huang Qiang Shen Bin Yang Jing et al. |
| |
| Affiliation: | Huang Qiang,Shen Bin,Yang Jing,et al.The Department of Orthopaedic Surgery,West China Hospital,Sichuan University,Chengdu,610041 |
| |
| Abstract: | Objective To investigate the application of vacuum sealing drainage (VSD) for the incision decompressions after osteofascial compartment syndrome of injured extremities in the Wenchuan Earthquake.Methods Review was taken in 15 earthquake injured patients (with 18 extremities wound) who were treated by VSD in West China Hospital during May 12,2008 to Jun 1,2008.The amount of drainage ranged from the wound,swell of the limbs,temperature were recorded.If the granulation tissue grew well,swell was extincted,vit... |
| |
| Keywords: | Vacuum sealing drainage Earthquake injure Osteofascial compartment syndrome |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
