NPWT Case Sharing rau Proximal Fracture ntawm Txoj Cai Tibia thiab Fibula

Ib tug txiv neej muaj hnub nyoog 57 xyoo raug kev puas tsuaj ntawm qhov kawg ntawm txoj cai tibia thiab fibula vim kev raug mob ntawm kev ua hauj lwm, thiab cov pob txha pem hauv ntej ntawm txoj cai tibia nthuav tawm.

Negative pressure wound therapy (NPWT) yog ib txoj hauv kev kom tshem tawm cov kua thiab kab mob los ntawm qhov txhab los pab lawv kho.Kaw lub qhov txhab nrog kev hnav khaub ncaws tshwj xeeb (bandage) thiab txuas lub tshuab nqus tsev me me.

 

Cov kws kho mob tuaj yeem pom zoo NPWT rau kev kub hnyiab, mob plab, mob ntshav qab zib rwj, thiab mob ntev (ntev) qhov txhab lossis raug mob.Txoj kev kho no tuaj yeem pab cov neeg mob kho sai dua thiab txo tus kab mob.

 

Departments siv nyob rau hauv no series thiab coj indications:

Kev kho mob orthopedics:

Cov pob txha raug mob ua ke nrog kev kis kab mob, steel phaj raug ua ke nrog kev kis kab mob, cov leeg raug mob ua ke nrog kev kis kab mob, kev kis kab mob tom qab sab nraud fixation, limb mos cov ntaub so ntswg tsis xws luag thiab necrosis;Avulsion raug mob nrog kev kis kab mob, qhib pob txha nrog cov ntaub so ntswg tsis xws luag, qhib lub qhov txhab mus ntev tsis kho qhov txhab, kev tiv thaiv ntawm daim tawv nqaij graft thaj tsam ua ntej thiab tom qab daim tawv nqaij grafting, osteomyelitis, sinus thiab osteofascial compartment syndrome.

 

Hlawv department:

Phem thib ob degree kub hnyiab / tob thib ob degree kub hnyiab, rov qab ntawm tes thermal crush raug mob, tshiab hlawv qhov txhab kho, laus hlawv qhov txhab kho, abscess tom qab perineal hlawv, TBSA 5% hlawv

Kev kub hnyiab rov qab, phom phom raug mob, tawg raug mob

 

Mob mob:

Tes ko taw chronic ulcer, mob ntshav qab zib ko taw ulcer nonunion txhab,

Chronic ulcer ntawm libs, sacrococcygeal ulcer, bedsore ulcer

 

Emergency Department:

Avulsion raug mob, degloving raug mob, kev puas tsuaj raug mob, cov ntaub so ntswg mos thiab cov pob txha raug mob

Cov ntaub so ntswg mos tsis tuaj yeem kaw hauv ib theem thiab kho qhov txhab tom qab txiav

 

Tes thiab ko taw microsurgery:

Severed qis ceg, tes thiab caj npab

 

General phais thiab cardiothoracic phais:

Tom qab radical mastectomy, kho qhov txhab, radical resection ntawm lub qhov quav mob cancer, refractory incision, stoma, mob empyema, esophagus anastomosis, pleural fistula, stoma fistula, thiab lwm yam.

Pu daim txhuam cev hauv daim duab

Pu daim txhuam cev yog daim txhuam cev qhuav, thiab cov khoom siv polyurethane yog cov khoom siv rwb thaiv tsev zoo tshaj plaws hauv ntiaj teb.Paub tias yog "thib tsib lub yas loj tshaj plaws", nws tuaj yeem sib txawv ntawm lub cev xws li qhov ntom ntom, elasticity thiab rigidity los ntawm kev hloov kho cov mis;Kev siv rau hauv qhov txhab txuas;Nws muaj qhov zoo hauv kev tswj cov exudate, uas yog manifested nyob rau hauv high-kawg muaj peev xwm, tshwj xeeb tshaj yog haum rau hnyav exudate thiab kis kab mob qhov txhab, txhawb granulation ntaub so ntswg tsim thiab xyuas kom meej sib kis siab.

Lub tswv yim: sticking tsis zoo daim txhuam cev yuav ntsib ntau yam teeb meem.Piv txwv li, cov neeg mob uas tsis tshua muaj albumin yuav tsum tau ncua kev tsis zoo siab, ntxiv cov protein ua ntej, thiab tom qab ntawd ua qhov tsis zoo tom qab kev ruaj ntseg, txwv tsis pub yuav muaj cov protein ntau dhau, uas ua rau muaj kev pheej hmoo ntawm kev poob siab.