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负压治疗在小儿外科手术部位感染患者中的应用：经验报告。

Negative pressure therapy in pediatric patient with surgical site infection: experience report.

机构信息

Universidade Federal do Paraná, Programa de Pós-Graduação em Prática do Cuidado em Saúde, Curitiba, PR, Brazil.

Hospital Infantil Doutor Waldemar Monastier, Campo Largo, PR, Brazil.

出版信息

Rev Esc Enferm USP. 2024 Nov 11;58:e20240077. doi: 10.1590/1980-220X-REEUSP-2024-0077en. eCollection 2024.

DOI:10.1590/1980-220X-REEUSP-2024-0077en
PMID:39589153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11584165/
Abstract

OBJECTIVE

To describe the use of negative pressure wound therapy and hydrofiber dressing with silver in a pediatric patient with a hard-to-heal surgical wound infection.

METHOD

This is a descriptive professional experience report on the use of conventional dressings and negative pressure wound therapy in a pediatric patient with a surgical wound infection. It was developed in 2023 at a Public Health Service that is a reference in the care of pediatric patients in the state of Paraná.

RESULTS

The surgical wound dehiscence started 12 days after peritoneostomy. Initially, the wound was treated with hydrofiber dressing with silver for 22 days and subsequently, negative pressure wound therapy was used for 15 days, regenerating the wound.

CONCLUSION

Negative pressure wound therapy in pediatrics proved to be safe, effective and efficient for the treatment of complex wounds and corroborated the skin regeneration process, as did hydrofiber dressing with silver.

摘要

目的

描述在患有难治性手术伤口感染的儿科患者中使用负压伤口治疗和含银水胶体敷料的情况。

方法

这是一篇关于在患有手术伤口感染的儿科患者中使用常规敷料和负压伤口治疗的描述性专业经验报告。该报告于 2023 年在一家公共卫生服务机构中编写，该机构是巴伊亚州儿科患者护理的参考机构。

结果

腹膜造口术后 12 天开始出现手术伤口裂开。最初，该伤口用含银水胶体敷料治疗了 22 天，随后使用负压伤口治疗 15 天，使伤口得以再生。

结论

在儿科中使用负压伤口治疗对治疗复杂伤口是安全、有效和高效的，并且与含银水胶体敷料一样，促进了皮肤再生过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/de7aba60fa08/1980-220X-reeusp-58-e20240077-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/8baea4f09534/1980-220X-reeusp-58-e20240077-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/56ac785dbafb/1980-220X-reeusp-58-e20240077-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/814510037f94/1980-220X-reeusp-58-e20240077-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/2499b131d66f/1980-220X-reeusp-58-e20240077-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/07a825f20445/1980-220X-reeusp-58-e20240077-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/82ad6b55b932/1980-220X-reeusp-58-e20240077-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/560faa02f126/1980-220X-reeusp-58-e20240077-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/0fbc50a00953/1980-220X-reeusp-58-e20240077-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/904acc9f8eaf/1980-220X-reeusp-58-e20240077-gf09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/de7aba60fa08/1980-220X-reeusp-58-e20240077-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/8baea4f09534/1980-220X-reeusp-58-e20240077-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/56ac785dbafb/1980-220X-reeusp-58-e20240077-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/814510037f94/1980-220X-reeusp-58-e20240077-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/2499b131d66f/1980-220X-reeusp-58-e20240077-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/07a825f20445/1980-220X-reeusp-58-e20240077-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/82ad6b55b932/1980-220X-reeusp-58-e20240077-gf06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/560faa02f126/1980-220X-reeusp-58-e20240077-gf07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/0fbc50a00953/1980-220X-reeusp-58-e20240077-gf08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/904acc9f8eaf/1980-220X-reeusp-58-e20240077-gf09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4977/11584165/de7aba60fa08/1980-220X-reeusp-58-e20240077-gf10.jpg

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本文引用的文献

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Biofilm and wound healing: from bench to bedside.生物膜与伤口愈合：从基础到临床。
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The Effectiveness of Negative Pressure Therapy: Nursing Approach.负压疗法的有效性：护理方法。
J Pers Med. 2022 Nov 1;12(11):1813. doi: 10.3390/jpm12111813.
3
Treatment of experimentally induced partial-thickness burns in rats with different silver-impregnated dressings.用不同的含银敷贴剂治疗大鼠实验性部分厚度烧伤。
Acta Cir Bras. 2022 Nov 28;37(8):e370801. doi: 10.1590/acb370801. eCollection 2022.
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The Impact of Antiseptic-Loaded Bacterial Nanocellulose on Different Biofilms-An Effective Treatment for Chronic Wounds?载有防腐剂的细菌纳米纤维素对不同生物膜的影响——慢性伤口的有效治疗方法？
J Clin Med. 2022 Nov 9;11(22):6634. doi: 10.3390/jcm11226634.
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[Toxic Megacolon: A rare complication of chronic constipation. Three Pediatric Cases].[中毒性巨结肠：慢性便秘的一种罕见并发症。三例儿科病例]
Andes Pediatr. 2022 Feb;93(1):105-109. doi: 10.32641/andespediatr.v93i1.3479. Epub 2021 Sep 8.
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Quality of life improvement in patients with hard-to-heal leg wounds treated with Prontosan wound irrigation solution and wound gel.采用普朗特伤口冲洗液和伤口凝胶治疗难治性腿部伤口患者的生活质量改善。
J Wound Care. 2021 Oct 2;30(10):854-865. doi: 10.12968/jowc.2021.30.10.854.
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Braz J Microbiol. 2021 Dec;52(4):1701-1718. doi: 10.1007/s42770-021-00624-x. Epub 2021 Sep 23.
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Successful surgical closure of infected abdominal wounds following preconditioning with negative pressure wound therapy.经负压伤口治疗预处理后成功缝合感染性腹部伤口。
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