负压封闭引流联合持续微氧渗透技术在新生儿胸骨切口深部感染中的应用
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女,本科,主管护师,国际造口治疗师

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南京医科大学科技发展基金项目(NMUB2018100)


Application of vacuum sealing drainage combined with continuous micro-oxygen permeation technique in neonates′ deep sternal wound infection
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    目的 探讨负压封闭引流联合持续微氧渗透技术在新生儿先心病术后胸骨切口深部感染护理中的安全性及有效性。 方法 对13例发生胸骨切口深部感染的先心病术后新生儿,在伤口彻底清创和静脉抗生素治疗的基础上,使用负压封闭引流联合持续微氧渗透技术,采用专科护士为主导的医护一体化模式,对患儿伤口进行精细化管理。 结果 13例手术结束至诊断胸骨切口深部感染的时间为5~17(8.73±3.84)d;使用负压封闭引流联合持续微氧渗透治疗6~18(11.92±3.48)d;手术至完全愈合16~40(25.35±7.41)d。1例大动脉转位患儿行Switch术后第20天心脏骤停死亡;其余12例患儿予负压封闭引流联合持续微氧渗透技术辅助治疗后伤口愈合良好,住院时间24~64(44.62±13.51)d。出院后门诊或微信随访,没有因伤口相关问题再次入院。 结论 采用负压封闭引流联合持续微氧渗透技术处理伤口安全有效,能促进胸骨切口深部感染伤口快速愈合。

    Abstract:

    Objective To explore the safety and effectiveness of vacuum sealing drainage combined with continuous micro-oxygen permeation technology in nursing care of deep sternal wound infection after neonatal congenital heart disease operation. Methods A total of 13 neonates with deep sternal wound infection after operation of congenital heart disease were participants.We used vacuum sea-ling drainage combined with continuous micro-oxygen permeation technique based on thorough wound debridement and intravenous antibiotic treatment, the integrated mode of doctor-nurse dominated by specialist nurses was used to manage the wound precisely. Results The time from completion of surgery to diagnosing a deep sternal wound infection was 5-17 (8.73±3.84) days.The treatment of vacuum sealing drainage combined with continuous micro-oxygen permeation lasted 6-18 (11.92±3.48) days.The time from surgery to fully wound healing was 16-40 (25.35±7.41) days.A child with transposition of the great arteries died of cardiac arrest on the 20th day after the Switch operation, the remaining 12 children′s wounds healed well after treated with vacuum sealing drainage combined with continuous micro-oxygen permeation technique, their length of hospitalization was 24-64 (44.62±13.51) days.According to outpatient or WeChat follow-up, there wasn′t readmission due to wound-related problems. Conclusion Application of vacuum sealing drainage combined with continuous micro-oxygen permeation technique is safe and effective, which can promote deep infection wounds healing quickly.

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蔡丽娜,李明兄,徐京,邵文森,谢宗云,徐邦红.负压封闭引流联合持续微氧渗透技术在新生儿胸骨切口深部感染中的应用[J].护理学杂志,2023,28(5):25-28

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  • 收稿日期:2022-10-19
  • 最后修改日期:2022-12-21
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  • 在线发布日期: 2023-12-29