CAJ | 학술논문

目的：探讨负压封闭引流（VSD）装置在注射毒品所致股动脉假性动脉瘤感染并破裂出血患者术后的应用价值。方法对16例注射毒品所致股动脉假性动脉瘤感染并破裂出血患者行手术治疗，术后瘤腔使用VSD装置7～10 d，观察引流及拆除VSD装置后患者的全身及伤口局部情况。结果15例患者在引流过程中伤口无需换药，局部红肿逐渐消退，全身无发热等感染中毒症状，拆除VSD装置后创面较干净，渗出物少，肉芽组织新鲜。经术后1～2个月随访，伤口愈合好。1例患者术后出现戒断综合征而死亡，未能继续观察伤口情况。结论注射毒品所致股动脉假性动脉瘤感染并破裂出血患者术后使用VSD装置，能引流彻底、很好地控制感染、促进肉芽组织生长，减少换药次数，在临床应用中有较好的优势。
목적：탐토부압봉폐인류（VSD）장치재주사독품소치고동맥가성동맥류감염병파렬출혈환자술후적응용개치。방법대16례주사독품소치고동맥가성동맥류감염병파렬출혈환자행수술치료，술후류강사용VSD장치7～10 d，관찰인류급탁제VSD장치후환자적전신급상구국부정황。결과15례환자재인류과정중상구무수환약，국부홍종축점소퇴，전신무발열등감염중독증상，탁제VSD장치후창면교간정，삼출물소，육아조직신선。경술후1～2개월수방，상구유합호。1례환자술후출현계단종합정이사망，미능계속관찰상구정황。결론주사독품소치고동맥가성동맥류감염병파렬출혈환자술후사용VSD장치，능인류철저、흔호지공제감염、촉진육아조직생장，감소환약차수，재림상응용중유교호적우세。
Objective To explore the use value of VSD among patients injecting drug induced femoral artery pseudoaneurysm rup-ture postoperative infection.Methods 16 cases of injecting drug femoral artery pseudoaneurysm due to infection and bleeding in patients treated surgically,after operation we use VSD in the wound for 7-10 days,then observe the wound and the general condition.Results 15 patients in the drainage process do not need dressing,local swelling gradually subside,no fever and other systemic symptoms of infection,after removal of the VSD,there were relatively clean wounds,less exudate,granulation tissue fresh.After 1 -2 months follow-up after operation, wound healed.One patient died of postoperative withdrawal syndrome.Conclusion Those caused by infected and bleeding femoral artery pseudoaneurysm after operation using the VSD negative pressure drainage device can good control of infection and promote growth of granula-tion tissue,reduce the frequency of dressing changes,has a good advantage in the clinical application.