摘要
目的观察抗菌敷料填塞联合封闭负压引流治疗坏死性筋膜炎的临床效果。方法对52例坏死性筋膜炎患者用一种带有抗菌特性的敷料——纳米银抗菌敷料，在充分清除筋膜炎坏死组织后，将其填塞于整个创面，在创面底部放置负压引流管，后用透明贴将创面封闭，隔绝空气，让抗菌敷料既抗菌又可刺激创面生长的作用充分发挥，同时对创面内的组织渗液通过负压管及时引流，起到加快创面愈合，减少抗菌素使用。结果52例患者中，除1例因患者个人原因放弃治疗死于感染中毒性休克外，其余均治愈，平均住院时间（29±15．3）d，抗菌素应用天数（3．8±1．6）d，90％病例在1周内就停止使用抗菌素。结论用抗菌敷料填塞联合负压封闭式引流的方法治疗坏死性筋膜炎，可减少换药次数、降低抗菌素使用强度、缩短愈合时间。
Objective To obs.erve the effect of antibacterial dressing tamponade combined with seal negative pressure drainage in the treatment of necrotizing fasciitis. Methods 52 patients with neerotizing fasciitis were selected. After full scavenging of fasciitis and necrotic tissue,then filled the whole wound with a kind of dressings with antibacterial properties -Nano silver antiseptic dressing, and a negative pressure drainage tube was placed at the bottom of the wound. Then the wound was closed with a transparent paste, and the air was cut off,in order to make the antibacterial dressing could not only anti bacteria, but also play a role in the growth of the wound, and at the same time, the tissue leachate in the wound was drained through the negative pressure tube in time, so as to accelerate the wound healing and reduce the use of antibiotics. Results Among the 52 cases, the rest were cured except for 1 case of individual cause of abandonment of treatment died of toxic shock. , the average hospitalization time was （29.0± 15.3 ） days, days of using antimicrobial was （3.8 ± 1.6）days,90% cases stopped using antibiotics within 1 week. Conclusion Antibacterial dressing tamponade combined with seal negative pres.sure drainage in the treatment of necrotizing fasciitis can reduce the switching frequency, reduced antibiotic using intensity, shorten the healing time, it is a kind of very good method.
出处
《中国基层医药》
CAS
2018年第5期595-597,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
坏死性筋膜炎
填塞封闭
引流
Necrotizing fasciitis
Stuffing closed
The drainage
