摘要
2018年1月10日徐州市中心医院收治1例魟鱼刺伤左大腿3 d的35岁男性患者。入院时患者左大腿红肿、疼痛明显,入院当天即在门诊手术室急诊行局部清创,去除感染坏死组织。常规换药创面好转后行手术清创、负压伤口疗法,最终采用局部皮瓣修复创面。皮瓣修复术后14 d患者拆线出院。随访半年,患者术区恢复良好。本病例提示魟鱼刺伤后及时正确的院前处理、入院后及时彻底清创、全身抗生素应用是减少毒素进一步损害重要手段,负压伤口疗法完善"创面床"准备后采用局部皮瓣移植方式修复创面可达到较佳效果。
On January 10,2018,a 35-year-old male patient with a 3 day stingray stinger injury in his left thigh was admitted to Xuzhou Central Hospital.At the time of admission,the patient′s left thigh was red,swollen,and painful.On the day of admission,the patient underwent emergency operation in the outpatient operating room for local debridement to remove the infected and necrotic tissue.After the routine dressing change and the wound got better,surgical debridement and negative-pressure wound therapy were performed,and finally local flap was used to repair the wound.On the 14th day after the flap repair operation,the suture was removed and the patient was discharged.After half a year follow-up,the appearance of the operation area recovered well.This case suggests that the timely and correct pre-hospital treatment,thorough and timely debridement,and systemic antibiotic application are important means to reduce further injury of toxin.The local flap can achieve satisfactory result on wound healing after the wound bed is prepared by negative-pressure wound therapy.
作者
姜涛
吴杭庆
曹统
宋德恒
张建军
Jiang Tao;Wu Hangqing;Cao Tong;Song Deheng;Zhang Jianjun(Department of Burns and Plastic Surgery,Xuzhou Central Hospital,Xuzhou 221009,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2020年第9期873-875,共3页
Chinese Journal of Burns
关键词
负压伤口疗法
外科皮瓣
魟鱼
刺伤
Negative-pressure wound therapy
Surgical flaps
Stingray
Stinger injuries
