CAJ | 학술논문

探讨封闭式负压引流技术（VSD ）在儿童四肢复杂创伤患者中的应用。方法根据19例患儿四肢创面复杂、污染严重的特点，一期均选用VSD吸引5～10 d ，创面清洁后给予植皮或皮耐克修复创面；观察该组患者的住院时间、临床症状及预后情况。结果19例病例创面均愈合，无一例伤口感染，预后情况较好，仅有2例患者预后出现异常情况，其余患者预后情况较好，且在治疗期间未出现不良事件。结论 VSD结合皮耐克或植皮在儿童四肢复杂创伤中有较好的临床效果，明显减少了换药次数，缩短了病程，可进一步提高患者生存质量，患儿及其家属满意程度较高，具有突出的临床应用价值，值得推广。
탐토봉폐식부압인류기술（VSD ）재인동사지복잡창상환자중적응용。방법근거19례환인사지창면복잡、오염엄중적특점，일기균선용VSD흡인5～10 d ，창면청길후급여식피혹피내극수복창면；관찰해조환자적주원시간、림상증상급예후정황。결과19례병례창면균유합，무일례상구감염，예후정황교호，부유2례환자예후출현이상정황，기여환자예후정황교호，차재치료기간미출현불량사건。결론 VSD결합피내극혹식피재인동사지복잡창상중유교호적림상효과，명현감소료환약차수，축단료병정，가진일보제고환자생존질량，환인급기가속만의정도교고，구유돌출적림상응용개치，치득추엄。
Objective To summarize the application of vacuum sealing drainage (VSD) in treatment of 19 chil‐dren with complex extremities trauma of skin avulsion injuries of limbs and open fractures .Methods According to the severity of complexity and contamination of wound surface of limbs ,VSD suction was performed in 19 children for 5-10 d ,and skin grafting or Nike wound repair were performed after cleaning the wound .Hospitalization time , clinical symptoms and prognosis were observed .Results Wounds of all of the 19 cases were healed .No case of wound infection was found .The prognosis was fine .Only 2 patients were with abnormal prognosis .No adverse events occurred during treatment .Conclusion Application of VSD combined with skin graft or Nike could be with fine clini‐cal effects for treatment of complex extremities trauma in children ,could significantly reduce the number of change of dressing ,shorten course of disease ,improve the quality of life and satisfactory degree of patients and their family members ,which might be worthy of promotion .