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Vacuum sealing drainage technique in the treatment of poor healing wounds after heart valve surgery: experience in cardiac nursing
基金项目:This work was supported by Medical Scientific Research Foundation of Guangdong Province (No. B2013019) and National Science & Technology Pillar Program during the 12th Five-year Plan Period (No. 2013BAI07B00)
摘    要:Background Poor wound healing or postoperative infection after open-heart surgery is most commonly seen. If not treated in time or the infection progresses, it can lead to sternal infection, even mediastinal and pericardial infection, causing a higher mortality rate. Vacuum sealing drainage(VSD) is a new technology to promote wound healing. We studied the use of VSD technique in poor wound healing after heart valve surgery to see if it could achieve good therapeutic efficacy. Methods From 2013 October to 2014 October in Guangdong General Hospital, 86 cases of the application of vacuum sealing drainage technique in the treatment of cardiac nonunion after valve replacement in patients with nursing observation. The treatment time, death rate and infection rate, etc were compared. Results Wound healing time of 86 patients receiving vacuum sealing drainage was 14.6 ± 3.6 days, and no patient died. Two patients came back to hospital for repair due to dehiscence of the incision after discharge. Conclusion Nursing observation and drainage management were the key of VSD. VSD technique is worthy to be popularized clinically.

关 键 词:伤口愈合  引流技术  心脏瓣膜  治疗效果  心脏护理  真空密封  封闭  手术
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