持续低负压冲吸在小儿腹部术后肠瘘伤口处理中的作用.docVIP

精品论文 参考文献 持续低负压冲吸在小儿腹部术后肠瘘伤口处理中的作用 广东汕头潮南民生医院小儿外科（邮编：515144） 【摘要】目的：探讨持续低负压冲吸在小儿腹部术后肠瘘伤口处理中的作用。方法：总结2002年10月至2014年10月对16例小儿腹部术后并发肠瘘腹部伤口采取持续低负压冲吸治疗效果。结果：持续低负压冲吸治疗能快速吸出肠瘘出物，不但能有效减少瘘出液对瘘口周围皮肤的刺激，促进伤口愈合，减少换药次数和物品消耗，而且能减少腹腔内污染，促进病情恢复。结论：对于小儿腹部术后并发肠瘘患者，持续低负压冲吸是控制肠瘘出液及保护瘘口皮肤的经济有效的方法，有利于腹部伤口及肠瘘的愈合。 关键词：小儿；腹部手术；肠瘘；伤口 The role of continuing low negative pressure lavage and suction in pediatric abdominal postoperative intestinal fistula wound processing Lai Zhihong ，Zhou Fan ，Zheng Wenlong , Liu Zhijun ,Cai Hongbin ( Pediatric surgery of Shantou chaonan minsheng hospital, Guangdong 515144) 【 Abstract 】 Objective: to investigate the role of continuing low negative pressure lavage and suction in pediatric abdominal postoperative intestinal fistula wound processing. Method: to summarize 16 cases of pediatric patients with abdominal postoperative intestinal fistula who had been treated with continuing low negative pressure lavage and suction in October 2002 to October 2014. Results: continuing low negative pressure lavage and suction treatment can quickly suck out intestinal fistula liquid, it not only can reduce the pollution of the abdominal cavity, but also can effectively reduce the fluid in fistula surrounding skin stimulation, promote wound healing and reduce the number of dressing and goods consumption. Conclusion: for pediatric abdominal surgery patients with intestinal fistula, continuing low negative pressure lavage and suction of intestinal fistula is the economic and effective method to control the liquid and protect skin fistula , is advantageous to the abdominal wound and the healing of intestinal fistula. Keywords: Pediatric; Abdominal surgery; Intestinal fistula, Wound 肠瘘是小儿腹部外科手术后严重的并发症之一，尤其见于患儿体质差、急危重或复杂手术后，治疗极为复杂且困难，死亡率可高达90%以上[1]。2002年10月－2014年10月，我院小儿外科共收治腹部手术后肠瘘患儿16例，除全身处理方面予积极抗炎、对症及营养支持等处理外，腹部局部伤口处理极为棘手，我们采用持续低负压引流及低流量灌洗，效果满意，现报告如下： 资料与方法 一般资料： 本组患儿共16例，其中男11例，女5例；年龄22天~11岁，平均约2.5岁。 本组病例术后吻合口瘘中：急