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小腿脱套伤——额外治疗的重要性:负压与高压氧治疗

Degloving lower leg injury - the importance of additional treatment: negative pressure and hyperbaric oxygen therapy.

作者信息

Stabryła Piotr, Kulińska Joanna, Warchoł Łukasz, Kasielska-Trojan Anna, Gaszyński Wojciech, Antoszewski Bogusław

机构信息

Department of Plastic, Reconstructive and Esthetic Surgery, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Poland.

Department of Anesthesiology and Intensive Care, Norbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Poland.

出版信息

Pol Przegl Chir. 2018 Apr 30;90(2):5-9. doi: 10.5604/01.3001.0011.7453.

DOI:10.5604/01.3001.0011.7453
PMID:29773764
Abstract

Degloving injury poses a severe therapeutic challenge concerning both trauma and plastic surgery. The injury involves separation of skin and subcutaneous tissue from fascia and muscles. Treatment is often long-lasting and brings unsatisfying results due to the extent of damage, risk of infection and massive blood loss. In this article, we present the management and therapeutic outcomes of a patient admitted due to the degloving injury of the lower extremity caused by workplace accident. We described the complexity of treatment including surgical intervention as well as additional treatment, which combined brought good esthetic outcome.

摘要

脱套伤在创伤和整形手术方面都带来了严峻的治疗挑战。这种损伤涉及皮肤和皮下组织与筋膜及肌肉的分离。由于损伤程度、感染风险和大量失血,治疗往往持续时间长且效果不尽人意。在本文中,我们介绍了一名因工作场所事故导致下肢脱套伤入院患者的治疗及治疗结果。我们描述了包括手术干预及其他治疗在内的治疗复杂性,这些综合起来带来了良好的美学效果。

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Ann Med Surg (Lond). 2022 May 31;78:103896. doi: 10.1016/j.amsu.2022.103896. eCollection 2022 Jun.
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Plast Reconstr Surg Glob Open. 2020 Nov 23;8(11):e3277. doi: 10.1097/GOX.0000000000003277. eCollection 2020 Nov.
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