| VSD持续负压灌洗、引流在高压电损伤治疗中的应用 |
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| 引用本文： | 杨维琦,范锟铻,余旭明,陈万安,徐旭,朱美抒.VSD持续负压灌洗、引流在高压电损伤治疗中的应用[J].南昌大学学报(医学版),2011(10). |
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| 作者姓名： | 杨维琦 范锟铻 余旭明 陈万安 徐旭 朱美抒 |
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| 作者单位： | 深圳市第二人民医院烧伤整形科; |
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| 摘 要： | 目的观察负压吸引技术(VSD)持续负压灌洗、引流对高压电损伤创面修复的影响。方法将56个上肢受伤部位患者(35例高压电损伤患者)按不同的治疗方法分为2组:试验组和对照组,每组28个部位。对照组患者采用全身及局部治疗;试验组在对照组全身和局部治疗的基础上采用VSD持续负压灌洗、引流1～3周,7d更换1次新的VSD敷料,术后1～3周拆除负压吸引装置。观察2组患者创面肉芽生长情况,再根据创面情况选择皮片或皮瓣封闭创面。结果试验组在清创治疗后,后期覆盖创面,其中植皮为14个部位,腹部带蒂皮瓣为14个部位;对照组在清创治疗后,后期覆盖创面,其中植皮为14个部位,腹部带蒂皮瓣为14个部位。试验组创面肉芽生长快,皮片或皮瓣覆盖后愈合快;对照组创面肉芽生长相对较慢。试验组皮片、皮瓣成活率均为100.0%,均明显高于对照组的85.7%、92.9%(均P<0.05),试验组皮片、皮瓣移植患者的住院时间分别为(42.5±2.2)、(58.3±4.3)d,均明显低于对照组的(49.4±2.1)、(62.3±4.2)d(均P<0.05)。结论 VSD持续负压灌洗、引流能明显地改善高压电损伤肉芽生长创面情况,为进一步封闭创面提供了良好的...
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| 关 键 词： | 高压电损伤 VSD持续负压灌洗 引流 创面 皮片 皮瓣 修复 |
Application of Vacuum Sealing Drainage with Continuous Negative Pressure Lavation and Drainage in High Voltage Electrical Injury |
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| YANG Wei-qi,FAN Kun-wu,YU Xu-ming,CHEN Wan-an,XU Xu,ZHU Mei-shu.Application of Vacuum Sealing Drainage with Continuous Negative Pressure Lavation and Drainage in High Voltage Electrical Injury[J].Journal of Nanchang University(Medical Science),2011(10). |
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| Authors: | YANG Wei-qi FAN Kun-wu YU Xu-ming CHEN Wan-an XU Xu ZHU Mei-shu |
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| Affiliation: | YANG Wei-qi,FAN Kun-wu,YU Xu-ming,CHEN Wan-an,XU Xu,ZHU Mei-shu(Department of Burn and Plastic,the Second People's Hospital of Shenzhen,Shenzhen 518000,China) |
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| Abstract: | Objective To observe the effects of vacuum sealing drainage(VSD) with continuous negative pressure lavation and drainage on wound repair in high voltage electrical injury.Methods Fifty-six upper limb injury sites(35 patients with high voltage electrical injuries) were divided into experiment group and control group,with 28 sites in each group.All patients were treated with whole-body and local treatment.Additionally,experiment group was given VSD with continuous negative pressure lavation and drainage for 1... |
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| Keywords: | high voltage electrical injury |
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