Leijnen Michiel, Steenvoorde Pascal, van Doorn Louk P, da Costa S A, Schuttevaer Herman M, van Leeuwen Gijs A M, Oskam Jaques
Wounds. 2007 Aug;19(8):227-30.
Since its introduction, vacuum-assisted closure (V.A.C.® Therapy™, KCI, San Antonio,Tex) therapy has proven to be an adequate and noninvasive method in the treatment of complicated wounds. Vacuumassisted closure can be used in the treatment of many types of chronic wounds, such as venous stasis ulcers, pressure ulcers, dehisced surgical wounds, arterial and diabetic ulcers, and a wide variety of miscellaneous, long-existing wounds. Although complications related to its use are rare; localized superficial skin irritation is the most common complication reported in the literature. Further complications involve pain, infection, bleeding, and fluid depletion. Although rare, severe complications, such as toxic shock syndrome, anaerobic sepsis, or thrombosis have been reported. This case report presents an unusual complication of vacuum-assisted closure therapy, which to the authors' knowledge has only once been reported in the literature.
自问世以来，负压封闭引流（V.A.C.® Therapy™，KCI公司，得克萨斯州圣安东尼奥市）疗法已被证明是治疗复杂伤口的一种适当且非侵入性的方法。负压封闭引流可用于治疗多种慢性伤口，如静脉淤滞性溃疡、压疮、手术切口裂开、动脉性和糖尿病性溃疡以及各种杂类的长期存在的伤口。尽管与其使用相关的并发症很少见，但局部浅表皮肤刺激是文献中报道的最常见并发症。进一步的并发症包括疼痛、感染、出血和液体消耗。虽然罕见，但已报道过严重并发症，如中毒性休克综合征、厌氧性败血症或血栓形成。本病例报告展示了负压封闭引流疗法的一种罕见并发症，据作者所知，该并发症在文献中仅被报道过一次。
