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[高能激光清创与酶处理后伤口过程的特征]

[Characteristics of wound process after high-energy laser debridement and enzyme treatment].

作者信息

Tolstykh P I, Titov A I, Vartanian Zh S, Derbenev V A, Danilova T M, Dadashev A I

出版信息

Khirurgiia (Mosk). 1990 Jun(6):12-6.

PMID:2120507
Abstract

The results of ++clinico-bacterial examination of 168 patients provide evidence for the efficacy of CO2-laser treatment of a purulent wound; it reduces contamination of the tissues, 1,000-10,000-fold as a result of which surgical debridement of the purulent wound is completed in most cases by the application of a primary suture. The use of immobilized proteolytic enzymes in the postoperative period facilitates further cleansing of the wound, prevents the development of secondary infection, accelerates the change of the wound process to the phase of regeneration, promotes an uneventful postoperative course and healing of the wound within a lesser period as compared to the control group.

摘要

168例患者的临床细菌学检查结果为二氧化碳激光治疗化脓性伤口的疗效提供了证据;它减少了组织污染,降低了1000至10000倍,因此在大多数情况下,通过一期缝合即可完成化脓性伤口的外科清创。术后使用固定化蛋白水解酶有助于进一步清洁伤口,防止继发感染的发生,加速伤口进程向再生阶段转变,促进术后顺利恢复,并与对照组相比在更短时间内实现伤口愈合。

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