负压伤疗法在急性腹部内脏剥离的背景下,这是主要的胸腔腹部烧伤的次要原因
William T Crawley1, Benson Pulikkottil2,3, Maxwell Busch4
1Department of Graduate Medical Education, HCA HealthOne - Swedish Medical Center, 610 E Hampden, Ste 220, Englewood, CO 80113, United States.
负压伤疗法 (NPWT) 有助于腹部手术恢复. 一种使用瘤环的新技术成功使严重胸腔腹部烧伤患者的NPWT成功,从而扩大了治疗选择.
科学领域:
- 创伤外科 手术 创伤外科
- 烧伤护理 烧伤护理
- 伤口管理 伤口管理
背景情况:
- 负压伤疗法 (NPWT) 改善了腹部探索患者的结果.
- 由于密封困难,NPWT在胸腔腹部烧伤患者中的应用具有挑战性.
研究的目的:
- 描述一种新的技术,用于在严重的胸腔腹部烧伤患者中应用NPWT,并进行小肠切除.
- 为了证明 ostomy/障碍环在复杂的烧伤中建立NPWT密封的实用性.
主要方法:
- 一个57岁的患者的病例报告,患有胸腔腹部烧伤和脱bridement后小肠内脏切除.
- 在临时腹部关闭和第二次看 laparotomy 期间,使用 ostomy / 屏障环来创建 NPWT 的密封.
主要成果:
- 通过使用口腔/屏障环实现了NPWT的成功应用.
- 该技术促进了复杂的烧伤患者的伤口管理,其中包括腹壁.
结论:
- 胸腔/障碍环为胸腔腹部烧伤患者的NPWT密封挑战提供了可行的解决方案.
- 这种新的方法可能会扩大NPWT在关键烧伤中暂时关闭腹部的使用范围.
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