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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.

DOI:10.1002/ccr3.9349
PMID:39171333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11335570/
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/aed7/11335570/20780315a1ae/CCR3-12-e9349-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/00e1b78a923e/CCR3-12-e9349-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/48844260565d/CCR3-12-e9349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/cb7fe8d31523/CCR3-12-e9349-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/25555440cebe/CCR3-12-e9349-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/d754be2f3a1f/CCR3-12-e9349-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/2a5424fb6ac6/CCR3-12-e9349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/ea9dad032821/CCR3-12-e9349-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/79aeee5e15d5/CCR3-12-e9349-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/a3f810c79254/CCR3-12-e9349-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/386271514fe6/CCR3-12-e9349-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/fe83969d2dd0/CCR3-12-e9349-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/20780315a1ae/CCR3-12-e9349-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/00e1b78a923e/CCR3-12-e9349-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/48844260565d/CCR3-12-e9349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/cb7fe8d31523/CCR3-12-e9349-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/25555440cebe/CCR3-12-e9349-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/d754be2f3a1f/CCR3-12-e9349-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/2a5424fb6ac6/CCR3-12-e9349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/ea9dad032821/CCR3-12-e9349-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/79aeee5e15d5/CCR3-12-e9349-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/a3f810c79254/CCR3-12-e9349-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/386271514fe6/CCR3-12-e9349-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/fe83969d2dd0/CCR3-12-e9349-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aed7/11335570/20780315a1ae/CCR3-12-e9349-g003.jpg

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本文引用的文献

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Fatal and nonfatal firearm injuries in the eastern Democratic Republic of Congo: a hospital-based retrospective descriptive cohort study assessing correlates of adult mortality.刚果民主共和国东部的致命和非致命性火器伤害：基于医院的回顾性描述性队列研究，评估成人死亡率的相关因素。
BMC Emerg Med. 2021 Oct 12;21(1):116. doi: 10.1186/s12873-021-00506-3.
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Evaluation of Vacuum Assisted Closure Therapy for Soft Tissue Injury in Open Musculoskeletal Trauma.开放性肌肉骨骼创伤软组织损伤的负压封闭引流治疗评估
J Clin Diagn Res. 2016 Apr;10(4):RC05-8. doi: 10.7860/JCDR/2016/17449.7598. Epub 2016 Apr 1.
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A randomized, controlled trial of negative pressure wound therapy of pressure ulcers via a novel polyurethane foam.
一项通过新型聚氨酯泡沫对压疮进行负压伤口治疗的随机对照试验。
Wound Repair Regen. 2014 Mar-Apr;22(2):205-11. doi: 10.1111/wrr.12146.
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Recommendations on negative pressure wound therapy with instillation and antimicrobial solutions - when, where and how to use: what does the evidence show?负压伤口治疗联合灌洗和抗菌溶液的推荐意见 - 何时、何地以及如何使用：证据显示了什么？
Int Wound J. 2013 Dec;10 Suppl 1(Suppl 1):32-42. doi: 10.1111/iwj.12183.
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Vacuum Assisted Closure Therapy versus Standard Wound Therapy for Open Musculoskeletal Injuries.用于开放性肌肉骨骼损伤的负压封闭引流疗法与标准伤口治疗法的比较
Adv Orthop. 2013;2013:245940. doi: 10.1155/2013/245940. Epub 2013 Jun 26.
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Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: a multicenter randomized controlled trial.负压伤口治疗（使用真空辅助闭合）与先进湿性伤口治疗在糖尿病足溃疡治疗中的比较：一项多中心随机对照试验
Diabetes Care. 2008 Apr;31(4):631-6. doi: 10.2337/dc07-2196. Epub 2007 Dec 27.
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Vacuum-assisted wound closure (VAC therapy) for the management of patients with high-energy soft tissue injuries.采用负压封闭引流技术（VAC疗法）治疗高能软组织损伤患者。
J Orthop Trauma. 2003 Nov-Dec;17(10):683-8. doi: 10.1097/00005131-200311000-00004.
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