Perioperative Nursing for Children with Extensive Skin Avulsion Injury in Lower Limbs Treated by Vacuum Sealing Drainage_West China Medical Journal

Authors：

 TONGYing , FUHuan , FENGLi-wei , CAOFang-fang

Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Extensive skin avulsion injury of lower limbs; Vacuum sealing drainage; Nursing; Children

DOI：

10.7507/1002-0179.20140033

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Objective To discuss nursing measures and experiences for children with extensive skin avulsion injury of lower limbs treated by vacuum sealing drainage (VSD). Methods We reviewed the perioperative nursing data of 48 child patients with extensive skin avulsion injury in lower limbs who underwent VSD treatment between December 2010 to October 2012. And the data were compared with those for 56 children with the same disease and treatment between January 2007 and November 2010. Results In these 48 children, 19 received once, 23 received twice, and 6 received 3 times of vacuum sealing drainage. During the treatment, 5 drainage tubes were blocked and were solved with normal saline, and 3 drainage tubes had leakage and two of them were reconnected and the other one became normal after changing the dressing. For VSD, the time between being wounded and skin-grafting was 13.6 days, and the average hospitalization time was 24.3 days. Compared with the traditional method group, children in the VSD group had fewer drug changes during hospitalization, lower infection rate, and shorter hospitalization stay, and the differences were significant (P<0.05). Conclusion Keeping drainage tube airtight, normal and effective is as important as nutrition and mental nursing in the treatment of children's extensive skin avulsion injury in lower limbs, which can decrease infection rate, reduce average hospitalization time, and increase operative efficacy.

Citation： TONGYing, FUHuan, FENGLi-wei, CAOFang-fang. Perioperative Nursing for Children with Extensive Skin Avulsion Injury in Lower Limbs Treated by Vacuum Sealing Drainage. West China Medical Journal, 2014, 29(1): 110-113. doi: 10.7507/1002-0179.20140033 Copy

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2.	張敏, 王芳, 李濤, 等. 16例大面積皮膚撕脫傷自體皮回植聯合真空負壓封閉技術治療的護理[J]. 中華護理雜志, 2008, 43(2):132-133.
3.	Tautenhahn J, Bürger T, Lippert H. The present state of vacuum sealing[J]. Chirurg, 2004, 75(5):492-497.
4.	王世平, 辛文瓊, 向波. 小兒外科護理手冊[M]. 北京:科學出版社, 2011:501.
5.	Argenta LC, Morykwas MJ. Vacuum-assisted closure:a new method for wound control and treatment:clinical experience[J]. Ann Plast Surg, 1997, 38(6):563-576.
6.	Müllner T, Mrkonjic L, Kwasny O, et al. The use of negative pressure to promote the healing of tissue defects:a clinical trial using the vacuum sealing technique[J]. Br J Plast Surg, 1997, 50(3):194-199.
7.	徐琰, 姚元章, 黃顯凱. 負壓封閉引流治療損傷感染創面的臨床觀察[J]. 創傷外科雜志, 2001, 3(4):311.
8.	李艷會, 佟影, 許珂. 真空負壓封閉技術治療皮膚損傷22例的護理[J]. 中國誤診學雜志, 2009, 9(14):3439-3439.
9.	柏士平, 潘擁軍, 宗艷霞. 負壓封閉引流結合臀大肌肌皮瓣在骶尾部褥瘡修復中的應用[J]. 中國矯形外科雜志, 2012, 20(1):27-29.
10.	廖俊. 應用VSD治療四肢外傷患兒的護理[J]. 護士進修雜志, 2013, 28(8):690.
11.	茍麗, 陳俊霞. VSD負壓封閉引流技術治療小兒軟組織感染創面的護理[J]. 護士進修雜志, 2010, 25(24):2297-2298.
12.	劉濤, 張弢, 趙虬, 等. 鄭永發負壓封閉引流結合外固定架一期治療重度開放損傷軟組織缺損[J]. 中國矯形外科雜志, 2011, 19(6):511-512.
13.	王順富, 王學文, 蔡成, 等. 骨科負壓封閉引流技術的臨床應用[J]. 中華醫院感染學雜志, 2007, 17(4):420-421.
14.	魏麗君, 陳皎, 巫紅梅, 等. 負壓封閉引流治療慢性潰瘍封閉不嚴的原因分析及對策[J]. 護士進修雜志, 2012, 27(11):1035-1036.

1. FleischmannW, Becker U, Bischoff M, et al. Vacuum sealing:indication, technique, and results[J]. Orthop Surg Traumatol, 1995, 5(1):37-40.
2. 張敏, 王芳, 李濤, 等. 16例大面積皮膚撕脫傷自體皮回植聯合真空負壓封閉技術治療的護理[J]. 中華護理雜志, 2008, 43(2):132-133.
3. Tautenhahn J, Bürger T, Lippert H. The present state of vacuum sealing[J]. Chirurg, 2004, 75(5):492-497.
4. 王世平, 辛文瓊, 向波. 小兒外科護理手冊[M]. 北京:科學出版社, 2011:501.
5. Argenta LC, Morykwas MJ. Vacuum-assisted closure:a new method for wound control and treatment:clinical experience[J]. Ann Plast Surg, 1997, 38(6):563-576.
6. Müllner T, Mrkonjic L, Kwasny O, et al. The use of negative pressure to promote the healing of tissue defects:a clinical trial using the vacuum sealing technique[J]. Br J Plast Surg, 1997, 50(3):194-199.
7. 徐琰, 姚元章, 黃顯凱. 負壓封閉引流治療損傷感染創面的臨床觀察[J]. 創傷外科雜志, 2001, 3(4):311.
8. 李艷會, 佟影, 許珂. 真空負壓封閉技術治療皮膚損傷22例的護理[J]. 中國誤診學雜志, 2009, 9(14):3439-3439.
9. 柏士平, 潘擁軍, 宗艷霞. 負壓封閉引流結合臀大肌肌皮瓣在骶尾部褥瘡修復中的應用[J]. 中國矯形外科雜志, 2012, 20(1):27-29.
10. 廖俊. 應用VSD治療四肢外傷患兒的護理[J]. 護士進修雜志, 2013, 28(8):690.
11. 茍麗, 陳俊霞. VSD負壓封閉引流技術治療小兒軟組織感染創面的護理[J]. 護士進修雜志, 2010, 25(24):2297-2298.
12. 劉濤, 張弢, 趙虬, 等. 鄭永發負壓封閉引流結合外固定架一期治療重度開放損傷軟組織缺損[J]. 中國矯形外科雜志, 2011, 19(6):511-512.
13. 王順富, 王學文, 蔡成, 等. 骨科負壓封閉引流技術的臨床應用[J]. 中華醫院感染學雜志, 2007, 17(4):420-421.
14. 魏麗君, 陳皎, 巫紅梅, 等. 負壓封閉引流治療慢性潰瘍封閉不嚴的原因分析及對策[J]. 護士進修雜志, 2012, 27(11):1035-1036.

West China Medical Journal

Perioperative Nursing for Children with Extensive Skin Avulsion Injury in Lower Limbs Treated by Vacuum Sealing Drainage

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