Pitt Kathryn A, Stanley Bryden J
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan.
Vet Surg. 2014 May;43(4):380-7. doi: 10.1111/j.1532-950X.2014.12155.x. Epub 2014 Feb 11.
To report experience with negative pressure wound therapy (NPWT) in 45 consecutive dogs admitted with extensive cutaneous wounds and to determine if NPWT is feasible in veterinary hospital practice.
Prospective descriptive study.
Dogs (n = 45).
Collected data were organized into 6 categories: patient data, wound data, NPWT data, adjunctive treatments, complications, and final outcome.
Wounds (53 in 45 dogs) were largely traumatic in origin, and distributed fairly evenly to the trunk, proximal and distal aspects of the limbs. Most wounds (34 dogs, 76%) had no granulation tissue and were treated a mean of 4.2 days after wounding, whereas 11 dogs had granulating wounds that were initially treated a mean of 87 days after wounding. Median NPWT use was 3 days with a mean hospitalization of 7.8 days. Most wounds (33; 62%) were closed surgically after NPWT and were healed by 14 days. The other 18 wounds healed (mean, 21 days) by second intention after hospital discharge. Overall, 96% of the wounds healed; 2 dogs died before definitive closure could be attempted.
NPWT is applicable to a wide variety of canine wounds, is well tolerated, allows for several days between dressing changes, and can used to optimize the wound bed for surgical closure or second intention healing.
报告连续45只因大面积皮肤伤口入院的犬只接受负压伤口治疗（NPWT）的经验，并确定NPWT在兽医医院实践中是否可行。
前瞻性描述性研究。
犬只（n = 45）。
收集的数据分为6类：患者数据、伤口数据、NPWT数据、辅助治疗、并发症和最终结果。
伤口（45只犬共53处）大多源于创伤，在躯干、四肢近端和远端分布较为均匀。大多数伤口（34只犬，76%）没有肉芽组织，在受伤后平均4.2天接受治疗，而11只犬有肉芽创面，最初在受伤后平均87天接受治疗。NPWT使用的中位数为3天，平均住院时间为7.8天。大多数伤口（33处；62%）在NPWT后通过手术闭合，并在14天内愈合。另外18处伤口在出院后通过二期愈合（平均21天）。总体而言，96%的伤口愈合；2只犬在尝试进行最终闭合前死亡。
NPWT适用于多种犬类伤口，耐受性良好，换药间隔可达数天，可用于优化伤口床以进行手术闭合或二期愈合。
