CAJ | 학술논문

目的总结负压封闭引流术(VDS)在手足毁损伤截肢创面中的运用效果及护理要点。方法对29例手足毁损伤截肢术后感染患者，使用VSD持续负压引流并进行针对性的护理。结果29例患者局部创面愈合，患者均未发生全身脓毒血症，截肢残端均愈合，无残端出血、皮肤坏死等并发症。结论该治疗方法在处理手足毁损伤截肢创面中疗效满意，通过围手术期细致观察及全方位护理，可以有效地避免交叉感染的发生，促进伤口愈合。
목적총결부압봉폐인류술(VDS)재수족훼손상절지창면중적운용효과급호리요점。방법대29례수족훼손상절지술후감염환자，사용VSD지속부압인류병진행침대성적호리。결과29례환자국부창면유합，환자균미발생전신농독혈증，절지잔단균유합，무잔단출혈、피부배사등병발증。결론해치료방법재처리수족훼손상절지창면중료효만의，통과위수술기세치관찰급전방위호리，가이유효지피면교차감염적발생，촉진상구유합。
Objective To summarize the key points of nursing care and the effectiveness of vacuum sealing drainage (VSD) technology in treating with wounds after amputation in hand and foot. Methods 29 patients with infective wounds after amputation with hand and foot smashed wounds treated with VSD were enrolled and given directed intervention of nursing. Results The wounds of all patients were healed, and there were no sepsis, no bleeding, and no necrosis of skin occurred. Conclusion The VSD technology can achieve satisfactory effect in treating with the infected amputation wounds in hand and foot. It can prevent cross infection and accelerate wound healing by comprehensive nursing care.