CAJ | 학술논문

目的探讨封闭负压引流(VSD)技术治疗儿童难治性四肢软组织感染过程中的护理要点.方法对山西省儿童医院2010年12月至2012年10月收治的应用封闭负压引流技术治疗的9例严重、难治性四肢软组织感染患儿,在围手术期进行护理观察.结果 7例患儿持续封闭负压引流7d,2例持续封闭负压引流10 d后更换1次VSD敷料,所有病例创面植皮全部愈合,无并发症发生.结论封闭负压引流能够彻底去除创面的坏死组织,促进其愈合;保持引流管通畅、调节适当的负压及密切的护理观察是护理重点.
목적 탐토봉폐부압인류(VSD)기술치료인동난치성사지연조직감염과정중적호리요점.방법 대산서성인동의원2010년12월지2012년10월수치적응용봉폐부압인류기술치료적9례엄중、난치성사지연조직감염환인,재위수술기진행호리관찰.결과 7례환인지속봉폐부압인류7d,2례지속봉폐부압인류10 d후경환1차VSD부료,소유병례창면식피전부유합,무병발증발생.결론 봉폐부압인류능구철저거제창면적배사조직,촉진기유합;보지인류관통창、조절괄당적부압급밀절적호리관찰시호리중점.
Objective To investigate the nursing points of the vacuum sealing drainage technology in children with refractory soft tissue infection in the limb.Methods A total of 9 children with refractory soft tissue infection in the limb were treated with vacuum sealing drainage technology from December 2010 to October 2012.Results All children who underwent vacuum sealing drainage technology were successful,among which 7 cases underwent continuous vacuum sealing drainage for 7 days and 2 cases replaced VSD material after continuous vacuum sealing drainage for 10 days and all wound with skin graft healed,without any complication.Conclusions Vacuum sealing drainage can remove thoroughly necrotic tissue of the wound and promote wound healing,the key points of nursing are to keep drainage tube unobstructed,adjust appropriate negative pressure and give close observation.