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封闭负压引流治疗四肢创伤性软组织损伤的护理体会
引用本文:张英梅,李华.封闭负压引流治疗四肢创伤性软组织损伤的护理体会[J].国外医学:护理学分册,2013(10):2363-2365.
作者姓名:张英梅  李华
作者单位:解放军第175医院厦门大学附属东南医院全军创伤骨科中心,福建漳州363000
摘    要:目的 探讨封闭负压引流(vacuum sedling drainage,VSD)治疗四肢创伤性软组织损伤的护理要点.方法 回顾总结48例四肢创伤性软组织损伤伴骨外露患者行清创及VSD治疗的方法及护理措施.结果 48例患者创面肉芽生长新鲜,其中11例仍有明显骨外露者再次VSD治疗,于一期创面愈合后行游离植皮或组织瓣移植,全部创面愈合良好,无1例发生并发症.结论 维持有效的负压,做好引流管的护理,加强心理护理及营养支持,做好功能锻指导,是保证VSD治疗成功的关键.

关 键 词:封闭负压引流  四肢创伤  软组织损伤  骨外露  护理

The nursing effect of closed negative pressure drainage on the treatment of traumatic tissue loss
ZHANG Ying-mei,LI Hua.The nursing effect of closed negative pressure drainage on the treatment of traumatic tissue loss[J].Foreign Medical Sciences(Nursing Foreing Medical Science),2013(10):2363-2365.
Authors:ZHANG Ying-mei  LI Hua
Affiliation:1.The 175th Hospital of PLA, Dongnan Hospital Affiliated of Xiamen University, Zhangzhou 363000, China;)
Abstract:Objective To study the effect of closed negative pressure drainage on the treatment of traumatic tissue loss.Methods The effects of closed negative pressure drainage on the treatment of traumatic tissue loss and the methods of VSD treatment and nursing were reviewed.Results The wound granulation of 48 patients was fresh,11 cases were still significantly exposed VSD again in the treatment of bone,in a row of free skin graft or flap wound healing,wound healing was all good,no complications.Conclusions To maintain an effective negative pressure,drainage tube nursing,strengthen psychological nursing and nutritional support,functional exercises instruction,is the key to guarantee the success of VSD.
Keywords:Closed negative pressure drainage  Limb trauma  Soft tissue injury  Bone exposure  Nursing
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