摘要
目的探讨早期创面处理在大面积感染性皮肤缺损愈合中的应用。方法总结3例大面积感染性皮肤损伤患者早期创面处理过程,针对外伤合并大面积感染性皮肤损伤患者,在积极抢救、维持生命的同时,对创面给予早期的创基处理,包括坏死组织清除、控制细菌感染、排出渗液和促进新生组织生长等,待病情稳定后行植皮术或修整缝合。结果 2例患者在植皮术前行封闭式负压引流治疗,待创面平整行自体植皮痊愈;1例患者行创缘修整缝合痊愈。3例患者的伤口愈合时间分别为43、493、7 d。结论大面积感染性伤口注重早期创面处理(即清创、抗感染、合理选择伤口敷料维持湿性环境),有助于伤口的二期治疗和功能恢复,缩短了创面的治愈时间。
Objective To investigate the early treatment of wound in the recovery of large area of infectious skin lesions.Methods The early treatment of wound of 3 patients with large area of infectious skin lesions were summarized.For the patients with wounds and large area of infectious skin lesions,a series of operating procedures were suggested as folows：besides active rescue and life-sustaining,early treatment of the wound base was conduced including removal of necrotic tissue,control of bacterial infection,exudate discharge,promotion of new tissue growth and other aspects while give active rescue and life support.Skin grafting or suture was to be given when the wound was in stable condition.Results Two patients before the graft underwent closed suction drainage until the recovery of autologous skin graft with smooth appearance.All wounds healed well.Patients were satisfied.One patient underwent wound edge trim and healed.The wound healing time for the three patients were 43、49、37 d.Conclusion Emphasis on early treatment of wound for large area of infectious skin defects（debridement,antibiotics,reasonable wound dressings to maintain a moist environment） contributes to phase Ⅱ healing and recovery of function as well as early healing of wounds.
出处
《解放军护理杂志》
2011年第13期38-40,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
皮肤缺损
创面处理
二期愈合
skin defect
wound treatment
phase II healing
作者简介
彭均，本科，主任护师，主要从事外科护理工作
