Clinical observation of antimicrobial dressings tamponade combined with seal negative pressure drainage in the treatment of 52 cases of necrotizing fasciitis
10.3760/cma.j.issn.1008-6706.2018.05.013
- VernacularTitle:抗菌敷料填塞联合封闭负压引流治疗坏死性筋膜炎52例疗效观察
- Author:
Yang LI
1
;
Xiaodong GUO
;
Ziguo LI
;
Huizhuan CUI
;
Aiguo XU
;
Hui WANG
Author Information
1. 涿州市医院普外一科
- Keywords:
Necrotizing fasciitis;
Stuffing closed;
The drainage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(5):595-597
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of antibacterial dressing tamponade combined with seal negative pressure drainage in the treatment of necrotizing fasciitis .Methods 52 patients with necrotizing fasciitis were selected . After full scavenging of fasciitis and necrotic tissue,then filled the whole wound with a kind of dressings with antibacterial properties-Nano silver antiseptic dressing,and a negative pressure drainage tube was placed at the bottom of the wound.Then the wound was closed with a transparent paste ,and the air was cut off,in order to make the antibacterial dressing could not only anti bacteria ,but also play a role in the growth of the wound ,and at the same time,the tissue leachate in the wound was drained through the negative pressure tube in time ,so as to accelerate the wound healing and reduce the use of antibiotics .Results Among the 52 cases,the rest were cured except for 1 case of individual cause of abandonment of treatment died of toxic shock .,the average hospitalization time was (29.0 ±15.3)days,days of using antimicrobial was (3.8 ±1.6)days,90% cases stopped using antibiotics within 1 week.Conclusion Antibacterial dressing tamponade combined with seal negative pressure drainage in the treatment of necrotizing fasciitis can reduce the switching frequency,reduced antibiotic using intensity,shorten the healing time,it is a kind of very good method.
