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多技术联合治疗Ⅳ期压疮伴复杂窦道临床体会 被引量:3

Clinical Experience of Treating Stage Ⅳ Pressure Ulcer Combined with Complex Sinus with Multiple Techniques
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摘要 目的探讨分析多项技术联合治疗Ⅳ期压疮伴复杂窦道的临床疗效,总结成功经验。方法对2018年1月至2019年6月中铁十二局集团中心医院收治的16例Ⅳ期压疮伴复杂窦道患者实施外科清创、烧伤创疡再生医疗技术、负压封闭引流等多项技术联合治疗,观察治疗效果。结果16例患者的18处创面均完全愈合,创面愈合后随访6~12个月,所有患者均无压疮复发。结论多技术联合治疗可有效克服Ⅳ期压疮伴复杂窦道的治疗难点,加快创面愈合,实用性强,值得临床推广应用。 Objective To analyze the clinical efficacy of multiple techniques in the treatment of stage Ⅳ pressure ulcer combined with complex sinus,and to summarize useful experience.Methods Sixteen patients with stage Ⅳ pressure ulcers and complex sinus,admitted to China Railway 12th Bureau Group Central Hospital from January 2018 to June 2019,were selected as research subjects.Multiple techniques,including surgical debridement,MEBT/MEBO,and vacuum sealing drainage were performed to observe the treatment effect.Results Eighteen wounds of the 16 patients were healed completely.During the 6-12 month follow-up,no relapse of pressure ulcer was found in all the patients.Conclusion The combined application of multiple techniques can help overcome treatment difficulties of stage Ⅳ pressure ulcers with complex sinus and accelerate wound healing,deserving to be promoted in clinical practice given its high practicability.
作者 秦国强 刘蓉 Qin Guoqiang;Liu Rong(Department of Wound Repair,China Railway 12th Bureau Group Central Hospital,Taiyuan City,Shanxi 030053,China;Department of Critical Care Medicine,Sixth Hospital of Shanxi Medical University,Taiyuan City,Shanxi 030008,China)
出处 《中国烧伤创疡杂志》 2021年第1期23-26,共4页 The Chinese Journal of Burns Wounds & Surface Ulcers
关键词 压疮 窦道 烧伤创疡再生医疗技术 负压封闭引流 皮瓣修复 Pressure ulcer Sinus Regenerative medical technology for burn,wounds and ulcers Vacuum sealing drainage Skin flap repair
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