Barnes S M, Milsom P L
Accident and Emergency Department, Leeds General Infirmary, England.
Arch Emerg Med. 1988 Dec;5(4):200-5. doi: 10.1136/emj.5.4.200.
Thirty-seven years ago, it was suggested that abscesses could be treated with primary closure rather than by conventional incision and drainage, and that subsequent healing was superior. The result of a survey into the practice and teaching of abscess management in accident and emergency departments shows that, despite apparent satisfaction with the technique, it has not gained widespread acceptance. The literature on the subject is reviewed, and from this review it would appear that there cannot be any justification for the traditional method of packing abscess cavities. Areas for further research are identified.
37年前，有人提出脓肿可以采用一期缝合而非传统的切开引流进行治疗，且后续愈合情况更佳。一项针对急诊部门脓肿处理实践与教学的调查结果显示，尽管对该技术表面上满意，但它并未得到广泛认可。本文对该主题的文献进行了综述，从综述中似乎可以看出，传统的脓肿腔填塞方法毫无依据。文中还确定了有待进一步研究的领域。
