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

1.	FleischmannW, Becker U, Bischoff M, et al. Vacuum sealing:indication, technique, and results[J]. Orthop Surg Traumatol, 1995, 5(1):37-40.
2.	张敏, 王芳, 李涛, 等. 16例大面积皮肤撕脱伤自体皮回植联合真空负压封闭技术治疗的护理[J]. 中华护理杂志, 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, 辛文琼, 向波. 小儿外科护理手册[M]. 北京:科学出版社, 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, 黄显凯. 负压封闭引流治疗损伤感染创面的临床观察[J]. 创伤外科杂志, 2001, 3(4):311.
8.	李艳会, 佟影, 许珂. 真空负压封闭技术治疗皮肤损伤22例的护理[J]. 中国误诊学杂志, 2009, 9(14):3439-3439.
9.	柏士平, 潘拥军, 宗艳霞. 负压封闭引流结合臀大肌肌皮瓣在骶尾部褥疮修复中的应用[J]. 中国矫形外科杂志, 2012, 20(1):27-29.
10.	廖俊. 应用VSD治疗四肢外伤患儿的护理[J]. 护士进修杂志, 2013, 28(8):690.
11.	苟丽, 陈俊霞. VSD负压封闭引流技术治疗小儿软组织感染创面的护理[J]. 护士进修杂志, 2010, 25(24):2297-2298.
12.	刘涛, 张弢, 赵虬, 等. 郑永发负压封闭引流结合外固定架一期治疗重度开放损伤软组织缺损[J]. 中国矫形外科杂志, 2011, 19(6):511-512.
13.	王顺富, 王学文, 蔡成, 等. 骨科负压封闭引流技术的临床应用[J]. 中华医院感染学杂志, 2007, 17(4):420-421.
14.	魏丽君, 陈皎, 巫红梅, 等. 负压封闭引流治疗慢性溃疡封闭不严的原因分析及对策[J]. 护士进修杂志, 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. 张敏, 王芳, 李涛, 等. 16例大面积皮肤撕脱伤自体皮回植联合真空负压封闭技术治疗的护理[J]. 中华护理杂志, 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, 辛文琼, 向波. 小儿外科护理手册[M]. 北京:科学出版社, 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, 黄显凯. 负压封闭引流治疗损伤感染创面的临床观察[J]. 创伤外科杂志, 2001, 3(4):311.
8. 李艳会, 佟影, 许珂. 真空负压封闭技术治疗皮肤损伤22例的护理[J]. 中国误诊学杂志, 2009, 9(14):3439-3439.
9. 柏士平, 潘拥军, 宗艳霞. 负压封闭引流结合臀大肌肌皮瓣在骶尾部褥疮修复中的应用[J]. 中国矫形外科杂志, 2012, 20(1):27-29.
10. 廖俊. 应用VSD治疗四肢外伤患儿的护理[J]. 护士进修杂志, 2013, 28(8):690.
11. 苟丽, 陈俊霞. VSD负压封闭引流技术治疗小儿软组织感染创面的护理[J]. 护士进修杂志, 2010, 25(24):2297-2298.
12. 刘涛, 张弢, 赵虬, 等. 郑永发负压封闭引流结合外固定架一期治疗重度开放损伤软组织缺损[J]. 中国矫形外科杂志, 2011, 19(6):511-512.
13. 王顺富, 王学文, 蔡成, 等. 骨科负压封闭引流技术的临床应用[J]. 中华医院感染学杂志, 2007, 17(4):420-421.
14. 魏丽君, 陈皎, 巫红梅, 等. 负压封闭引流治疗慢性溃疡封闭不严的原因分析及对策[J]. 护士进修杂志, 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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