Nursing of vacuum sealing drainage in the primary stage in repairing exposed dog bite wounds
10.7619/jcmp.201514031
- VernacularTitle:负压封闭引流术一期修复犬咬伤创面的护理
- Author:
Anna SITU
1
;
Daojiang YU
;
Tianlan ZHAO
Author Information
1. 苏州大学附属第二医院 整形外科
- Keywords:
dog bite wounds;
vacuum sealing drainage;
primary stage repairing;
nursing
- From:
Journal of Clinical Medicine in Practice
2015;(14):96-98
- CountryChina
- Language:Chinese
-
Abstract:
ABSTRACT:Objective To investigate the treatment and nursing of vacuum sealing drainage (VSD)in the primary stage in repairing exposed dog bite wounds.Methods Conventional de-bridement was carried out by VSD on the dog bite wounds.The negative pressure with 300 mmHg for 2 hours and 130 mmHg for 1 hour were interchangeably applied for 24 hours in total.All the pa-tients were presented with flaps transplantation with VSD for 72 hours.Drainage strips were placed which came from half of the drainage tube bellow flap after repairing the tissue defect,and vacuum sealing drainage was placed over the flap and donor size,and initiatively and alternatively aspirated blood stasis in flap and bellow flap with negative pressure of 130mmHg for 1 hour and 300 mmHg for 2 hours.Vacuum sealing drainage was dismantled after 3 days,and the drainages were pulled out.Special nursing and rehabilitation were carried out during the treatment.Results All the flaps survived with no obvious cicatrix.All the patients had no rabies in the 24-month to 2-year follow-ups.Conclusion The dog bite wounds can be treated well by combining vacuum sealing drainage with primary repairing.This method can remove the bacteria and virus in the wounds and satisfied patients’requirements.Good nursing can promote recovery and shorten the healing time.
