Koehler Mary Beth, Nakayama Don K
Cape Fear Pediatrics, Wilmington, NC, USA.
AORN J. 2009 Oct;90(4):569-74. doi: 10.1016/j.aorn.2009.04.026.
Treating cutaneous abscesses in children traditionally involves incision and drainage followed by moist dressing changes. This article addresses whether abscesses can safely heal with incision and drainage alone and daily warm water immersion. Sixteen children with cutaneous abscesses were treated without dressing changes. All were pain free at 24 hours. There was one abscess recurrence. In comparison, among 19 children with cutaneous abscesses who received postoperative dressing changes, seven (37%) had significant pain, six (32%) required IV pain medications, and 11 (58%) were hospitalized. We determined that cutaneous abscesses may be treated with incision and drainage alone, thus avoiding pain and hospitalization for the patient.
传统上，治疗儿童皮肤脓肿的方法是切开引流，然后更换湿性敷料。本文探讨了脓肿仅通过切开引流和每日温水浸泡能否安全愈合。16名患有皮肤脓肿的儿童在治疗过程中未更换敷料。所有患儿在24小时时均无疼痛。有1例脓肿复发。相比之下，在19名接受术后换药的皮肤脓肿患儿中，7名（37%）有明显疼痛，6名（32%）需要静脉注射止痛药物，11名（58%）住院治疗。我们确定，皮肤脓肿仅通过切开引流即可治疗，从而避免了患者的疼痛和住院。
