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已发表论文

烧伤创面负压伤口治疗后的严重并发症：来自两个案例报道

 

Authors Ren H, Li Y

Published Date July 2014 Volume 2014:10 Pages 513—516

DOI http://dx.doi.org/10.2147/TCRM.S66117

Received 13 April 2014, Accepted 11 June 2014, Published 1 July 2014

Abstract: We present two typical cases of severe complications (sepsis and hemorrhage) after negative pressure wound therapy (NPWT) in burned patients. Necrotic tissues in some deep burn wounds are difficult to judge correctly and remove thoroughly. An electrically burned blood vessel looks “intact” but can easily break. Necrotic tissue or injured blood vessels when using NPWT are dangerous, both for causing sepsis and hemorrhage. This is the first article that reports the severe complications of NPWT in burned patients. It is imperative to heed indications and avoid contraindications. Proper preparation of wound beds, close observation, and sufficient irrigation are also crucial to avoid these severe complications, and there is an urgent need to substitute the central vacuum system with the low-pressure system.

Keywords: negative pressure wound therapy, complication, burn sepsis, bleeding, drainage



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