洗必泰碘络合物溶液用于下颌骨火器性感染创面的实验研究

颌面部火器伤常伴大量的致病微生物污染,仅靠切除清创术难以彻底消除。本实验观察了1％洗必泰碘络合物(简称CIC)对12只家犬下颌骨火器伤72h后感染创面的清创效果。结果表明:犬下颌骨火器性部分骨块缺损72h后,创面均有大量细菌生长。经常规清创后,12只犬中仍有10只细菌培养阳性。应用1％CIC后,细菌培养均为阴性。作者认为,1％CIC作为消创冲洗消毒剂,适用于口腔颌面部创伤,尤其对污染严重的火器伤,可起到常规消创方法所不能取代的作用。

APPLICATION OF 1% CHLORHEXIDINE-IODINE COMPLEX SOLUTION TO INFECTED GUNSHOT WOUNDS OF THE MANDIBLE: AN EXPERIMENTAL STUDY

Maxillofacial gunshot wounds are usually contaminated with a large number of pathogenic microorganisms which are difficult to be cleared out thoroughly by the routine surgical debridement alone. In 12 dogs, we observed the effect of application of l% CIC in debridement on the infected gunshot wounds of the mandible contaminated with numerous different bacteria 72 h after gunshot. After the debridement of the routine method, bacterial cultures were positive in 10 of 12 dogs while all cultures were negative for the wounds treated with 1% CIC.We suggest that l% CIC, as a wound irrigating agent, is suitable for early debridement of the oral and maxillofacial injuries,especially for that of gunshot wounds.