CAJ | 학술논문

目的：探讨封闭式负压引流技术在治疗大面积皮肤撕脱伤中的应用和护理体会。方法：2011年3月-2013年12月对38例因大面积皮肤撕脱伤造成皮肤、软组织缺损的患者，行急诊清创后创面应用VSD负压引流，拆除引流后给予二期植皮，同时加强术前、术后护理及健康宣教。结果：所有患者经应用VSD治疗后创面均生成新鲜肉芽组织，自体中厚皮片游离植皮后创面愈合良好。结论：密切的护理观察是保障VSD技术在治疗大面积皮肤撕脱伤中成功实施的重要环节，专业、细致的护理工作在整个治疗过程中具有至关重要的作用。
목적：탐토봉폐식부압인류기술재치료대면적피부시탈상중적응용화호리체회。방법：2011년3월-2013년12월대38례인대면적피부시탈상조성피부、연조직결손적환자，행급진청창후창면응용VSD부압인류，탁제인류후급여이기식피，동시가강술전、술후호리급건강선교。결과：소유환자경응용VSD치료후창면균생성신선육아조직，자체중후피편유리식피후창면유합량호。결론：밀절적호리관찰시보장VSD기술재치료대면적피부시탈상중성공실시적중요배절，전업、세치적호리공작재정개치료과정중구유지관중요적작용。
Objective: To discuss application of VSD treatment on large scale skin avulsion injury and nursing effect.Method: From March 2011 to December 2013, we operated emergency treatment and debridement on 38 patients who had loss of skin and soft tissue caused by large skin avulsion injury; and then, applied VSD treatment. After that, we offered the second phase skin grafting, as well as consolidate nursing and health education before and after operation. Result: After application of VSD treatment, all the patients surface of the wound produce fresh granulation tissue, with satisfying recovery after auto-pachyderma skin grafting.Conclusion: Intimating nursing observation is an important factor to safeguard application of VSD on large scale skin avulsion injury, besides, professional and careful nursing plays an important role in treatment process.