CAJ | 학술논문

目的：总结应用改良负压封闭引流技术治疗手部高压注射伤的临床疗效。方法2009年6月-2012年10月，对6例手部高压注射伤急诊彻底清创后采用改良负压封闭引流治疗，负压冲洗引流7～14 d（平均9.3 d）。结果6例创面均无感染、无毒素吸收而引起全身反应；冲洗引流1～2周后拆除负压引流装置，行创面直接缝合或游离植皮；创面愈合均良好，手部功能恢复理想。结论对手部高压注射伤一期行扩创清除异物，并应用改良负压封闭引流技术治疗，可有效预防感染，缩短治疗时间，减少伤残率。
목적：총결응용개량부압봉폐인류기술치료수부고압주사상적림상료효。방법2009년6월-2012년10월，대6례수부고압주사상급진철저청창후채용개량부압봉폐인류치료，부압충세인류7～14 d（평균9.3 d）。결과6례창면균무감염、무독소흡수이인기전신반응；충세인류1～2주후탁제부압인류장치，행창면직접봉합혹유리식피；창면유합균량호，수부공능회복이상。결론대수부고압주사상일기행확창청제이물，병응용개량부압봉폐인류기술치료，가유효예방감염，축단치료시간，감소상잔솔。
Objective To summarize the clinical effect of modified vacuum sealing drainage technique in the treatment of high-pressure injection injuries of hand. Methods From June 2009 to October 2012, a total of 6 cases with high-pressure injection injuries of hand after thorough debridement were treated by modified vacuum sealing drainage, 7 to 14 days (mean 9.3 days). Results 6 cases healed without infection, no body reaction caused by toxin absorption;washing removed vacuum device drainage after 1 to 2 weeks, for wound sutured directly or free skin graft; burn wound healed well, hand function recovered. Conclusion It can be effective in preventing infection, shorten treatment time, and reduce the rate of disability that by using modified vacuum sealing drainage to treat high-pressure injection injuries of hand.