| 孙晓红,贾立红,王寿宇,宗军卫,刘晓翠,李双双.蛆虫清创在1例老年骶尾部Ⅳ期压疮患者创面治疗中的应用[J].中国烧伤创疡杂志,2023,(6):436~438. |
| DOI： |
| 中文关键词: 骶尾部压疮 蛆虫清创 创面 负压封闭引流 表皮生长因子 |
| 英文关键词:Sacrococcygeal pressure ulcer Maggot debridement Wound Vacuum sealing drainage Epidermal growth factor |
| 基金项目:国家自然科学基金(82074426); 辽宁省教育厅基本科研项目(LJKMZ20221286) |
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| 中文摘要: |
| 【摘要】 给予 2019 年 7 月大连医科大学附属第一医院收治的1例老年骶尾部Ⅳ期压疮患者在抗感染、纠正水电解质紊乱、营养支持等对症支持治疗的基础上，局部创面于保守锐器清创后采用碘伏常规换药治疗。治疗10 d 后，创面无明显变化, 遂改为蛆虫清创治疗，13 d 后创面肉芽组织生长良好，再次改为负压封闭引流联合表皮生长因子换药治疗，53 d 后创面完全愈合, 愈后皮肤轻度瘢痕增生。 |
| 英文摘要: |
| 【Abstract】 An elderly patient with stage Ⅳ pressure ulcer at sacrococcygeal region, admitted to The First Affiliated Hospital of Dalian Medical University in July 2019, were given symptomatic and supportive treatments including controlling infection, correcting water-electrolyte disturbance, supplementing nutrition, etc?? , and the local wounds were managed with the routine dressing change of povidone iodine after conservative sharp wound debridement. After 10 days of treatment, there was no significant improvement in the wound condition, and thus maggot debridement therapy was initiated. 13 days later, granulation tissues grew well in the wound. Subsequently, vacuum sealing drainage and dressing change with epidermal growth factors were applied. After 53 days of treatment, the wound was healed completely, with mild scar hyperplasia on the healed skin. |
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