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目的总结封闭负压辅助愈合治疗技术(VAC)用于“4·20”地震伤所致皮肤软组织缺损患者的护理经验。方法对2013年4月22日-4月30日收治的20例(35处创面)“4·20”芦山地震所致皮肤软组织缺损患者使用VAC治疗,进行严密的效果观察、疼痛护理及心理护理等。结果 35处创面均在5~7 d后创面清洁,20处经VAC治疗自行愈合,15处通过自体皮覆盖,愈合良好;20例患者情绪稳定,均痊愈出院。结论 VAC用于“4·20”地震伤所致皮肤软组织缺损的创面可大大缩短创面的愈合时间,减轻地震伤患者换药的痛苦,缩短患者住院时间。
Objective To summarize the nursing experience of closed negative pressure assisted healing (VAC) technique in the treatment of skin and soft tissue defects caused by earthquakes of “4.20”. Methods VAC was used in 20 cases (35 wounds) of “4 · 20” Lushan earthquake-induced skin soft tissue defect who were treated from April 22 to April 30, 2013. The results of rigorous observation, pain management and Psychological care and so on. Results All the wounds in 35 wounds were cleaned after 5 ~ 7 days. 20 of them were healed by VAC. 15 of them were covered by autologous skin and healed well. Twenty patients were emotionally stable and discharged. Conclusion VAC can be used in the wound healing of soft tissue defects caused by earthquakes of “4.20” to shorten the healing time of wounds and relieve the pain of dressing change in earthquake victims and shorten the hospitalization time.