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[一例因残留异物导致的腹部慢性难治性伤口]

[A case of chronic refractory wound in the abdomen caused by residual foreign body].

作者信息

Wang X G, Yu C H, Yin J, You C G, Zhang W, Han C M

机构信息

Department of Burns and Wound Repair, the Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou 310009, China.

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2022 Jun 20;38(6):555-557. doi: 10.3760/cma.j.cn501120-20210419-00137.

Abstract

A 59-year-old male patient with local sinus tract formation due to residual foreign body was admitted to the Second Affiliated Hospital of Zhejiang University College of Medicine on December 17, 2018. The examination showed that the residual foreign body was the component of a sticky cloth implanted when the patient underwent appendectomy 27 years ago. Hypertrophic scar developed at the right-lower abdominal incision for appendectomy 23 years ago and the secondary infection after cicatrectomy resulted in non-healing of the wound. The chronic refractory wound healed completely after surgical treatment in our hospital after this admission. The postoperative pathological examination revealed local inflammatory granuloma. This case suggests that chronic refractory wound is likely to form when secondary infection occurs following the surgical procedure near the implant, and aggressive surgery is an effective way to solve this problem.

摘要

一名59岁男性患者因残留异物导致局部窦道形成,于2018年12月17日入住浙江大学医学院附属第二医院。检查发现残留异物是患者27年前行阑尾切除术时植入的一块粘布的组成部分。23年前阑尾切除术后右下腹切口处形成增生性瘢痕,瘢痕切除术后继发感染导致伤口不愈合。本次入院后在我院手术治疗后,慢性难治性伤口完全愈合。术后病理检查显示为局部炎性肉芽肿。该病例提示,植入物附近手术后发生继发感染时,可能会形成慢性难治性伤口,积极手术是解决这一问题的有效方法。

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本文引用的文献

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[Theories and strategies of chronic wound treatment].[慢性伤口治疗的理论与策略]
Zhonghua Shao Shang Za Zhi. 2020 Sep 20;36(9):798-802. doi: 10.3760/cma.j.cn501120-20200728-00361.
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Chronic wounds: the challenges of appropriate management.慢性伤口:恰当管理面临的挑战
Br J Community Nurs. 2019 Sep 1;24(Sup9):S26-S32. doi: 10.12968/bjcn.2019.24.Sup9.S26.
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[Application value of endoscope in probing chronic wound with sinus tract in clinic].
Zhonghua Shao Shang Za Zhi. 2018 Jun 20;34(6):365-369. doi: 10.3760/cma.j.issn.1009-2587.2018.06.010.
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Chronic Wounds: Innovations in Diagnostics and Therapeutics.慢性伤口:诊断与治疗的创新。
Curr Med Chem. 2018;25(41):5772-5781. doi: 10.2174/0929867324666170710120556.

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