Davis Marcus, Nakhdjevani Amir, Lidder Surjit
Department of Plastic Surgery, Queen Victoria Hospital, East Grinstead, United Kingdom.
J Emerg Med. 2011 Mar;40(3):322-3. doi: 10.1016/j.jemermed.2010.05.077. Epub 2010 Sep 29.
The closure of lacerations in thin-skinned patients often presents a challenge to emergency physicians; skin contracture and inflamed, edematous wounds prevent easy opposition of wound edges, thereby preventing simple closure.
To present a simple closure technique using a combination of Steri-Strips™ (3M, St. Paul, MN) and sutures to facilitate closure of wounds.
With this technique, the wound edges are opposed and held in place by the application of Steri-Strips, through which sutures are placed and tied. The Steri-Strip prevents the suture from cutting through the skin while the tied suture removes the tension of the Steri-Strip on the epidermis, thereby preventing shearing.
This is a simple and quick technique applicable to all parts of the body in patients with thin or poor quality skin, helping to alleviate the complications often encountered with either method used in isolation, and thereby reducing possible further morbidity.
对于急诊医生而言，为皮肤薄的患者缝合伤口往往颇具挑战；皮肤挛缩以及发炎、水肿的伤口使得伤口边缘难以轻松对合，进而妨碍了简单缝合。
介绍一种使用思乐扣™（3M公司，明尼苏达州圣保罗）与缝线相结合的简单缝合技术，以促进伤口闭合。
采用该技术时，通过应用思乐扣使伤口边缘对合并固定到位，然后通过思乐扣放置缝线并打结。思乐扣可防止缝线割破皮肤，而打结的缝线可消除思乐扣对表皮的张力，从而防止剪切。
这是一种简单快捷的技术，适用于皮肤薄或质量差的患者身体的各个部位，有助于减轻单独使用任何一种方法时经常遇到的并发症，从而降低可能出现的进一步发病率。
