全膝关节置换术中使用粘贴手术巾导致的皮肤撕脱伤：一例报告。
Skin avulsion injuries caused by the application of adhesive drapes during total knee arthroplasty: A case report.
作者信息
Yang Bin, Xiong Chuanzhi, Lu Zhihua, Wang Jingcheng
机构信息
Yangzhou University Department of Orthopedics and Institute of Orthopedics, Clinical Medical College of Yangzhou University, Subei People's Hospital of Jiangsu Province, Yangzhou, China.
出版信息
Medicine (Baltimore). 2018 Jun;97(24):e11049. doi: 10.1097/MD.0000000000011049.
RATIONALE
The use of adhesive drapes has decreased the incidence of surgical-site infections.
PATIENT CONCERNS
Despite the obvious benefits of the proper use of drapes, there remain many potential risks.
DIAGNOSE
A 66-year-old man with a history of left knee osteoarthritis and varus deformity underwent total knee arthroplasty at our hospital, upon removal of the adhesive drape by delicate peeling and warm saline lavage, a large area of the skin avulsion happened.
INTERVENTIONS
A standardized set of care measures were applied to the wound to avoid wound infection.
OUTCOMES
After 6 weeks of treatment, the avulsed wound showed no signs of infection and had undergone re-epithelialization.
LESSONS
Individuals with high-risk skin avulsion injuries should be provided with preventive measures and the necessity of continuous application of adhesive drapes should be further studied.
原理
使用粘贴式手术巾降低了手术部位感染的发生率。
患者关注点
尽管正确使用手术巾有明显益处，但仍存在许多潜在风险。
诊断
一名66岁男性，有左膝骨关节炎和内翻畸形病史，在我院接受全膝关节置换术，在通过精细剥离和温盐水冲洗去除粘贴式手术巾后，发生大面积皮肤撕脱。
干预措施
对伤口应用一套标准化的护理措施以避免伤口感染。
结果
经过6周治疗，撕脱伤口未出现感染迹象且已完成上皮再生。
经验教训
对于有皮肤撕脱高风险损伤的个体应提供预防措施，并且应进一步研究持续使用粘贴式手术巾的必要性。
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