Reid Russell R, Dumanian Gregory A
Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, 675 North St. Clair, Chicago, IL 60611, USA.
Ann Plast Surg. 2003 Dec;51(6):575-8. doi: 10.1097/01.sap.0000095650.39621.41.
Despite their long-standing and prevalent use, closed suction drains lack a standardized postoperative care protocol. The authors present a prospective analysis of local wound problems associated with a minimalist approach to care of the drain exit site. A total of 73 patients undergoing a variety of procedures had 192 closed suction drains left in place on average over 10 days after surgery. Drain care consisted of daily showering with soap and water for the skin, no dressings, and stripping and emptying of the drain by the patient. Ninety-one percent of the patients followed the drain protocol and showered postoperatively without particular attention to the drains. There were 5 major complications of fluid collections leading to open wounds, 5 minor wound complications, and 2 wound complications unrelated to drain exit site care. Patient follow-up averaged 10 months. Overall, these data underscore the safety and efficacy associated with a simple approach to the management of closed suction drains.
尽管封闭式负压引流管长期以来被广泛使用，但缺乏标准化的术后护理方案。作者对与引流管口部位极简护理方法相关的局部伤口问题进行了前瞻性分析。共有73例接受各种手术的患者，术后平均留置192根封闭式负压引流管10天。引流管护理包括每日用肥皂和水清洗皮肤、不使用敷料，以及由患者挤压并清空引流管。91%的患者遵循引流管护理方案，术后淋浴时未特别关注引流管。有5例因积液导致伤口开放的主要并发症、5例轻微伤口并发症以及2例与引流管口部位护理无关的伤口并发症。患者平均随访10个月。总体而言，这些数据强调了简单的封闭式负压引流管管理方法的安全性和有效性。
