Jones S
Children's Hospital, Albany, NY, USA.
Ostomy Wound Manage. 2000 Jun;46(6):42-5, 48-50.
Many neonates require abdominal surgery for a variety of reasons, including necrotizing enterocolitis (NEC). Secondary complications of abdominal surgery include alterations in skin integrity and potential wound dehiscence. These alterations may actually worsen when treated with products "traditionally" used postoperatively. The author simultaneously utilized basic wound care products with currently recognized therapies in managing a 29-week premature infant who experienced dehiscence secondary to bowel repair. By utilizing the correct products and incorporating the principles of moist wound healing and occlusion, this Stage III/IV wound, measuring 12 cm x 3 cm, closed within 35 days of dehiscence. A team-oriented and coordinated approach proved that wounds can, and will, improve, even in this fragile population.
许多新生儿因各种原因需要进行腹部手术，包括坏死性小肠结肠炎（NEC）。腹部手术的继发性并发症包括皮肤完整性改变和潜在的伤口裂开。当使用术后“传统”使用的产品进行治疗时，这些改变实际上可能会恶化。作者在管理一名因肠道修复继发伤口裂开的29周早产儿时，同时使用了基本的伤口护理产品和目前公认的治疗方法。通过使用正确的产品并纳入湿性伤口愈合和封闭的原则，这个12厘米×3厘米的Ⅲ/Ⅳ期伤口在裂开后35天内愈合。一种以团队为导向的协调方法证明，即使在这个脆弱的人群中，伤口也能够而且将会改善。
