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在刚果民主共和国东部资源有限地区使用负压疗法治疗枪伤:病例系列

The use of negative pressure therapy for the treatment of gunshot wounds in a limited resource setting in eastern part of the Democratic Republic of Congo: Case series.

作者信息

Munguakonkwa Paul Budema, de Dieu Namegabe Tumsifu Jean, Murhula Gauthier Bahizire, Kuhigwa Georges Toha, Cikomola Fabrice Gulimwentuga, Kabesha Théophile Barwamire, Kibendelwa Zacharie Tsongo, Mukuku Olivier, Okitotsho Stanis Wembonyama

机构信息

Department of Surgery Provincial General Reference Hospital of Bukavu Bukavu Democratic Republic of Congo.

Faculty of Medicine Université Catholique de Bukavu Bukavu Democratic Republic of Congo.

出版信息

Clin Case Rep. 2024 Aug 20;12(8):e9349. doi: 10.1002/ccr3.9349. eCollection 2024 Aug.

Abstract

KEY CLINICAL MESSAGE

The use of negative pressure therapy in the management of gunshot wound have a favorable outcome, NPT is easy to build, accelerates wound budding, reduces patient's stay in hospital and its low cost. It showed reassuring results in the management of wound with soft tissue lost, comparatively to other dressing.

ABSTRACT

Wounds due to gunshot injuries are common in east of Republic Democratic of Congo and its management should be well known by surgeons and other health practitioners. Reconstruction is possible with simple surgeries using skin grafts and negative pressure therapy (NPT). In this study, we present our results of wounds treatment after gunshot injury with a simple non-surgical procedure using NPT. We present four patients with soft tissue losses caused by gunshot injury. These patients underwent an average of four to eight sessions of vacuum dressing, the length of hospital stay was decrease and soft tissue losses were reconstructed using at the end skin grafts.

摘要

关键临床信息

负压疗法用于枪伤处理效果良好,该疗法易于实施,能加速伤口肉芽生长,缩短患者住院时间且成本低。与其他敷料相比,在处理伴有软组织缺损的伤口时,它显示出令人放心的效果。

摘要

在刚果民主共和国东部,枪伤所致伤口很常见,外科医生和其他医疗从业者应熟知其处理方法。通过使用皮肤移植和负压疗法(NPT)的简单手术可以进行重建。在本研究中,我们展示了使用NPT这种简单非手术程序治疗枪伤后伤口的结果。我们呈现了4例因枪伤导致软组织缺损的患者。这些患者平均接受了4至8次负压敷料治疗,住院时间缩短,最终通过皮肤移植重建了软组织缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/00e1b78a923e/CCR3-12-e9349-g010.jpg

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