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负压封闭引流联合内外固定治疗胫腓骨开放性骨折的护理

蔡义红

实用临床医药杂志2011,Vol.15Issue(12):60-62,3.
实用临床医药杂志2011,Vol.15Issue(12):60-62,3.

负压封闭引流联合内外固定治疗胫腓骨开放性骨折的护理

Nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures

蔡义红1

作者信息

  • 1. 南通大学附属海安医院,江苏,海安,226600
  • 折叠

摘要

Abstract

Objective To evaluate the nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures. Methods Seventeen patients with severe open tibia and fibula fractures were treated with external fixator following debridement. Their wound surfaces or cavities were filled with foams with embedded drainage tubes connected to a vacuum bottle. The wounds were closed with secondary suturing, or free flap, orloco- regional flap 7 to 10 days later. Results The wounds of the 17 patients all healed. 14 cases(82.4% ) had bone primary union, and 3 cases(17.6% ) delayed union. The average union time was (6.5 ± 2.8)months. There was none of pintract infection. Conclusion Close observation of the wound, the sustained and effective drainage, good psychological and rehabilitation care are critical to the nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures.

关键词

负压封闭引流/护理/胫腓骨开放性骨折/外固定支架

Key words

vacuum sealing drainage/ nursing/ open tibia and fibula fracture/ external fixator

分类

医药卫生

引用本文复制引用

蔡义红..负压封闭引流联合内外固定治疗胫腓骨开放性骨折的护理[J].实用临床医药杂志,2011,15(12):60-62,3.

实用临床医药杂志

OACSTPCD

1672-2353

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