摘要
目的总结一例采用同种异体富血小板血浆(platelet rich plasma,PRP)治疗甘露醇外渗致手部肌腱外露的经验。方法根据患者伤口情况制定阶段性治疗方案,炎症反应阶段使用如意金黄散外敷,消炎止痛;感染控制阶段使用纳米银离子敷料填塞,促进渗液引流,加强局部感染控制,红光治疗改善局部血液循环,加快炎症物质吸收、减轻疼痛;伤口肌腱外露阶段,行同种异体PRP治疗,促进伤口愈合。结果从2022年10月21日伤口自行破溃至2022年11月11日,经过分阶段治疗,PRP治疗3次,患者伤口愈合。结论同种异体PRP可治疗甘露醇外渗致手背肌腱外露,具有加速伤口愈合的作用。
Objective To summarize the treatment experience of allogeneic platelet-rich plasma in patients with exposed opisthenar tendons caused by mannitol extravasation.Methods According to the patient's wound condition,the staged treatment protocol was formulated in patients.RuyiJinhuangsan was applied externally to reduce inflammation and relieve pain in the inflammatory response stage,nano silverion dressing was used to wound packing with the infection control stage to promote exudate drainage and strengthen local infection control,red light therapy can improve local blood circulation,accelerating the absorption of inflammatory substances and reducing pain,and allogeneic platelet-rich plasma(PRP)treatment was performed to promote wound healing in the wound tendon exposure stage.Results From October 21,2022 to November 11,2022,after three PRP applications,and the patient's wound healing time was greatly shortened.Conclusion Allogeneic PRP demonstrated therapeutic efficacy in accelerating wound healing for dorsal hand tendon exposure secondary to mannitol extravasation.
作者
彭青
齐清
黄秀玲
谷宇
薛嘉宇
余靖
景怡琳
陈琳
栾建凤
王淑君
PENG Qing;QI Qing;HUANG Xiuling;GU Yu;XUE Jiayu;YU Jing;JING Yilin;CHEN Lin;LUAN Jianfeng;WANG Shujun(Wound care Center of Outpatient Department,General hospital of eastern theater command,PLA;Department of Blood Transfusion,General hospital of eastern theater command,the affiliated hospital of Medical School of Nanjing University,Nanjing 210002)
出处
《临床输血与检验》
2025年第3期408-411,共4页
Journal of Clinical Transfusion and Laboratory Medicine
基金
东部战区总医院院管课题(No.22HLZX1)资助。
关键词
甘露醇
肌腱外露
富血小板血浆
Mannitol
Tendon exposure
Platelet rich plasma
作者简介
彭青,主要从事疑难伤口护理工作,(E-mail)656143438@qq.com;通信作者:王淑君,主要从事输血治疗相关研究,(E-mail)shujun0106@sina.com;共同通信作者:栾建凤,主要从事输血和相关装备研究,(E-mail)luanjf1003@126.com。
