主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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• 伤口个案管理专题 • 上一篇    下一篇

基于多学科协作的1例重度创伤合并伤口感染患者的护理

李惠东 齐晓莹 石伟玲   

  1. 郑州大学第一附属医院外科门诊,450052
  • 出版日期:2017-12-25 发布日期:2017-12-25
  • 基金资助:
    河南省高等学校重点科研项目(16A320016)

Application of multidisciplinary treatment in patient with severe trauma combined with infection

  • Online:2017-12-25 Published:2017-12-25

摘要: 目的:分析多学科协作在治疗重度创伤合并伤口感染中的应用效果。方法:由ICU、胸外科、骨科、整形外科、营养科、麻醉科及伤口造口门诊,共同组成多学科协作团队,在维持患者生命体征平稳、营养支持、镇静镇痛等协同调控下进行伤口管理,包括清除坏死组织,控制细菌感染和管理渗液,待病情稳定后行植皮和修整缝合。结果:该例重度创伤感染伤口经17天创面床准备完成后行手术治疗,伤口愈合。结论:多学科协作可加速重度创伤感染伤口的创面床准备过程,缩短创面的治愈时间。

Abstract: Objective: To explore the effect of multidisciplinary treatment in the patient with severe trauma combined with wound infection. Method: The multi-disciplinary team included doctors and nurses from ICU, thoracic surgery, orthopedics, plastic surgery, nutrition department, anesthesiology department and wound care clinic. The nutritional support, sedative analgesia were provided to the patient to maintain the vital sign stable. The wound management included removal of necrotic tissue, controlling of bacterial infection and management of exudate, then the skin graft and dressing. Result: The severe trauma infection wound was healed after surgery with 17-day wound bed preparation. Conclusion: Multidisciplinary team can accelerate the wound bed preparation process and improve the healing of wound.