Hedley J, Woods S, Eatwell K
Easter Bush Veterinary Centre, Hospital for Small Animals, Royal (Dick) School of Veterinary Studies and The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, Scotland, EH25 9RG.
J Small Anim Pract. 2013 Nov;54(11):610-3. doi: 10.1111/jsap.12118. Epub 2013 Jul 29.
A 42-year-old female Testudo graeca was referred with a five-month history of a non-healing carapacial wound. Previous treatment had involved long-term antibiotic therapy and conscious debridement of necrotic tissue. On presentation an extensive deep wound with purulent discharge was visible on the right side of the carapace. A computed tomographic scan was performed to assess the extent of the wound. This revealed a large carapacial deficit with two underlying soft tissue masses. Surgical debridement was performed under general anaesthesia resulting in an even larger defect. Because of the extensive nature of the deficit, negative pressure wound therapy was applied to aid wound healing. A negative pressure of approximately 120 mmHg was maintained and bandages were changed every third day. Wound healing progressed rapidly and a healthy granulation bed was formed within 16 days.
一只42岁的希腊陆龟因一处五个月未愈合的背甲伤口前来就诊。先前的治疗包括长期抗生素治疗和对坏死组织进行有意识的清创。就诊时，背甲右侧可见一个广泛的深部伤口并有脓性分泌物。进行了计算机断层扫描以评估伤口的范围。结果显示有一个大的背甲缺损，下方有两个软组织肿块。在全身麻醉下进行了手术清创，导致缺损更大。由于缺损范围广泛，应用了负压伤口治疗来促进伤口愈合。维持约120 mmHg的负压，每三天更换一次绷带。伤口愈合迅速，16天内形成了健康的肉芽床。
