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Received:August 02, 2023 Published Online:October 20, 2023
Received:August 02, 2023 Published Online:October 20, 2023
中文摘要: 目的 探讨蚕食分期清创理念联合创面负压封闭辅助闭合技术(VAC)对坏死性筋膜炎脓毒症患者的疗效。
方法 回顾性研究2017年6月至2023年3月江苏省中医院血管外科收治的10例坏死性筋膜炎脓毒症患者的临床资料,在控制感染、保证内环境稳定的基础上,根据患者创面情况进行分期清创修复处理(包括直接缝合修复6例,植皮愈合1例,换药愈合3例)联合创面VAC治疗。
结果 10例患者中,有2例患者实施5次手术,4例患者分别实施13次、8次、7次、4次手术,余4例实施3次手术。10例患者均顺利出院,脏器功能恢复,生命体征平稳,创面愈合恢复良好。
结论 蚕食分期清创理念联合创面VAC是坏死性筋膜炎脓毒症患者比较理想的治疗方案。
Abstract:ObjectiveTo investigate the effect of nibbling stage debridement combined with vacuum-assisted closure (VAC) therapy for necrotizing fasciitis sepsis.
Methods The data of patients with necrotizing fasciitis sepsis admitted to the Vascular Surgery Department of Jiangsu Provincial Hospital of Chinese Medicine from June 2017 to March 2023 were retrospectively studied. On the basis of infection control and internal environment stability, staged debridement and repair (including direct suture repair in 6 cases, skin grafting healing in 1 case and dressing change healing in 3 cases) combined with wound VAC treatment performed according to the wound conditions of the patients.
Results Of the 10 patients, 2 patients underwent 5 surgeries, 4 patients underwent 13, 8, 7 and 4 surgeries respectively, and the remaining 4 patients underwent 3 surgeries. All 10 patients were successfully discharged with organ function recovered, vital signs stabilized and wound healed well.
Conclusion The concept of nibbling stage debridement combined with VAC is an ideal treatment plan for patients with necrotizing fasciitis sepsis.
keywords: Necrotizing fasciitis Sepsis Wound Ulcer Nibbling stage debridement Vacuum-assisted closure
文章编号: 中图分类号:R631 文献标志码:A
基金项目:江苏省名老中医药专家(朱永康)传承工作室建设项目(苏中医科教[2019]10号)
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