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报道1例高龄慢性病患者假性动脉瘤破溃感染创面的护理经验。该患者右腘窝外伤致腘动脉破溃形成假性动脉瘤包块20年,破溃23 d,破溃后有大量、黄色、脓性液体渗出。患者创面在局麻下经3次扩创清创术和1次脓肿切开引流术,清除创面深部大量血液机化块,并引流出大量脓性分泌物,造口治疗师通过动态评估创面情况,分别选用了银离子藻酸盐敷料、水胶体油纱银敷料以及水胶体油纱敷料,使用红蓝光的物理治疗方法。经112 d对症治疗和积极护理,创面完全愈合,随访半年后,创面无复发。
A case of elderly patients with chronic diseases of pseudoaneurysm rupture of wound care experience. The right popliteal fossa injury caused by popliteal artery rupture pseudoaneurysm mass formed 20 years, ruptured 23 d, ulcerated after a large number of yellow, purulent liquid exudation. The wounds of patients underwent 3 debridement debridement and 1 abscess incision and drainage under local anesthesia. A large amount of blood-machine block was removed from the wound and a large amount of purulent discharge was drained. Ostracherapists through dynamic assessment of wound conditions , Respectively, the choice of silver ion alginate dressing, hydrocolloid silver yarn gauze dressing and hydrocolloid gauze dressing, the use of red and blue light physical therapy. After 112 days of symptomatic treatment and active nursing, the wound completely healed. After 6 months of follow-up, the wound did not relapse.