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find Keyword "加压包扎" 4 results
  • Application of Cohesive Compression Bandage Enswathement Combined Closed Drainage via Wound on Treatment for Groin Lymphatic Fistula

    目的探讨改良的局部加压包扎法治疗腹股沟区切口淋巴瘘的疗效。方法2005年12月至2010年11月期间对10例腹股沟区切口淋巴瘘患者采用弹力绷带持续加压包扎,同时切口放置闭式引流装置进行治疗。 结果全部患者切口经加压包扎后淋巴液均明显减少,经持续加压包扎3~20 d(平均7.2 d)后获临床治愈; 其中1例患者于加压包扎后第4天出现下肢股浅静脉血栓,经及时溶栓和抗凝治疗后好转。 本组患者随访1~59个月(平均14.7个月),10例患者切口均一期愈合,无下肢淋巴水肿发生。结论弹力绷带加压包扎结合切口闭式引流治疗腹股沟区切口淋巴瘘疗效显著,该方法简单、安全,值得临床推广应用。

    Release date:2016-09-08 10:42 Export PDF Favorites Scan
  • 桡动脉穿刺术后弹力绷带加压包扎时间的研究

    目的探讨经皮桡动脉穿刺行冠状动脉介入术后弹力绷带加压包扎不同松解时间对患者的影响。 方法选取2013年8月-10月经皮桡动脉穿刺行冠状动脉介入术后住院患者69例,术后应用弹力绷带加压包扎穿刺处后,随机分为试验组36例,对照组33例。试验组采取术后1、2、3 h松解绷带,对照组按照科室传统方法采取术后2、4、6 h松解绷带。观察两组患者穿刺包扎引起的疼痛、麻木、肿胀感等主观不适和客观体征,以及皮温、氧饱和度等客观指标并进行评分,以此评估患者术侧肢端缺血和微循环障碍恢复情况。 结果试验组患者肢端缺血和微循环障碍相关症状和客观指标评分恢复情况优于对照组,差异有统计学意义(P<0.05);两组主要终点事件无显著差异,但对照组出现包扎侧远端皮下出血点较多(P<0.001)。 结论与术后2、4、6 h松解绷带方式比较,采取术后1、2、3 h松解绷带方式可减少缺血和微循环障碍时间,缩短患者术后包扎侧主观不适的时间,同时不增加出血等风险。

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  • 包扎过紧致整形术后严重医源性损伤二例

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  • HEMOSTASIS EFFECT OF COMPRESSION DRESSING THERAPY AFTER TOTAL HIP ARTHROPLASTY

    ObjectiveTo investigate the hemostasis effect of compression dressing therapy after total hip arthroplasty (THA). MethodThirty-four patients undergoing unilateral THA between December 2014 and March 2015 were randomly divided into observation group (compression dressing group, n=17) and control group (ordinary dressing group, n=17) . There was no significant difference in gender, age, height, weight, lesion hips, pathogeny, disease duration, and preoperative hemoglobin between 2 groups (P>0.05) . The total blood loss theoretical value, the postoperative drainage volume, the visible blood loss, the hidden blood loss, the total blood transfusion volume, the number of patients receiving blood transfusion, and the related complications were compared between 2 groups. ResultsNo significant difference was found in operation time and hospitalization time between 2 groups (t=0.337, P=0.738; t=0.140, P=0.889) . The incisions healed by first intention in all patients. Six cases had incision subcutaneous hematoma in the control group, no incision subcutaneous hematoma occurred in the observation group (χ2=7.286, P=0.018) . No postoperative complications of wound superficial infection and venous thrombosis occurred in 2 groups. After operation, blood transfusion was given in 1 case of observation group and 7 cases of control group, showing significant difference (χ2=5.885, P=0.039) , and the total blood transfusion volume was 600 mL and 3 200 mL, respectively. There was no significant difference in preoperative blood volume and intraoperative blood loss between 2 groups (P>0.05) , but the total blood loss theoretical value, the postoperative drainage volume, the visible blood loss, and the hidden blood loss in observation group were significantly less than those in control group (P<0.05) . ConclusionsThe compression dressing should be performed after THA because it can effectively reduce postoperative blood loss and the incidence of wound hematoma.

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