在烧伤外科医生治疗全厚外围损伤时,转移 Ostomy 实践
Annie Cate Schmidt1, Anne Seyferth1, Michelle Hughes2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
概括
转向口腔术很少被烧伤外科医生用于围烧伤. 大多数外科医生通过非手术替代方案和适当的临床护理来管理这些具有挑战性的伤口,在没有便转移的情况下取得了良好的结果.
科学领域:
- 外科手术 手术手术
- 燃烧管理 燃烧管理
- 伤口护理 伤口护理
背景情况:
- 周围烧伤带来了独特的管理挑战,包括组织复杂性,污染和压力.
- 便通过口腔转移被认为是用于伤口愈合的方法,但会带来诸如结节和状这样的风险.
研究的目的:
- 为了确定烧伤外科医生的观点,使用转向口腔的围烧伤损伤.
- 评估美国烧伤协会 (ABA) 东北地区烧伤中心主任当前的做法.
主要方法:
- 在ABA东北地区的12个烧伤中心主任中分发了一份调查.
- 12名医生中有11名 (92%的应答率) 回答了他们对需要皮肤移植的全厚围烧伤的做法.
主要成果:
- 超过一半 (54.5%) 的接受调查的外科医生表示"从未"为这些伤害进行过转移性口腔术.
- 其余的外科医生执行转移性骨髓切除术"罕见" (<10%),通常用于相关的内或直肠创伤.
结论:
- 转移口腔是一个不常见的做法,用于管理全厚围烧伤.
- 有效的伤口和重症监护管理可以带来良好的结果,而不是口腔术.
- 专家经常使用非手术性便转移替代方案.
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