【摘要】 【目的】探讨地震后四肢开放伤口的治疗策略。【方法】本组伤员包括16人23处地震后四肢开放伤口,采用清创封闭负压引流处理伤口,伤口清洁后采用直接缝合、游离植皮术、邻位皮瓣和带蒂皮瓣转移闭合伤口。截肢感染残端的处理采用尽早彻底敞开伤口,充分引流,伤口清洁后立刻缝合伤口,必要时缩短残端。同时根据伤口创面分泌物培养结果选用敏感抗生素,对伤员的心理创伤、贫血、脱水和并发症积极治疗。【结果】本组伤员包括16人23处四肢开放伤口除1例91岁伤员外全部愈合。【结论】地震后四肢开放伤口采用正确的治疗策略,可以加速伤口愈合,尽快恢复肢体功能。更多还原

【Abstract】 【Objective】 To summarize the strategy of treatment of open limb injury in earthquake. 【Methods】 Retrospective study of 16 patients with 23 open wounds on the limbs in earthquake. The patients were treated with debridement and vacuum-sealing drainage (VSD). Then the wounds were closed with saturation, skin grafting and pedicled skin flap. The treatment of infection amputation stump consisted of wound debridement, drain, and saturation. The sensitive antibiotics were administrated according to the cultural result of the wound. The psychic trauma and complications were actively treated. 【Result】 Except 1 patient , 16 patients with 23 wounds healed in time. 【Conclusion】 With the perfect treatment strategy to earthquake induced, open limb injury, the wound healing and the limb rehabilitation would be accelerated and the function of limbs would be quickly recovered.更多还原