负压封闭引流治疗大面积犬咬伤疗效观察

目的：观察负压封闭引流治疗大面积犬咬伤疗效及副作用。方法：对3例大面积犬咬伤患者采用负压封闭引流技术,观察其治疗效果及随访后的不良反应发生情况。结果：3例患者中,2例术后7 d一期缝合创面,1例术后10 d缝合创面。3例全部获得随访,1例最长6个月随访,患者创面皮肤愈合良好,皮色、皮温、皮肤弹性及肢体功能均正常,无并发其他异常反应。3例缝合前创面细菌培养未见细菌生长。结论：负压封闭引流治疗创面肉芽新鲜,治疗、护理简单,创面无再次污染及感染的发生,对大面积犬咬伤是一项安全有效的治疗技术。

The Curative Effect Observation of Vacuum Sealing Drainage in the Treatment of Large Area of Dog Bite

Objective：To observe the efficacy and side effects of vacuum sealing drainage in the treatment of large area of dog bite.Method：Three case of large area of dog bites were treated with vacuum sealing drainage technique,the adverse reaction of treatment and the occurrence of adverse reactions were observed.Result：In 3 patients,2 patients were treated with primary suture of wound 7 days after the operation,1 patient was treated with suture of wound 10 days after the operation,all 3 cases were followed up,1 case of the longest 6 months follow-up,the wound healing was good,skin color,skin temperature,skin elasticity and limb function were normal,no other abnormal reaction,3 cases of bacterial culture before suture no bacterial growth.Conclusion：After vacuum sealing drainage in the treatment of large area of dog bite,the wound granulation fresh,simple treatment,nursing,wound without secondary pollution and infection,is a safe and effective treatment technology for large area of dog bite.