Wood S, Anderson-Ciambor F
Ostomy Wound Manage. 1995 Mar;41(2):36-40.
A 68 year old female with no history of perianal abscess was examined in the Emergency Department of the hospital verbalizing complaints of swelling and tenderness in the left inguinal area. Physical examination revealed redness and swelling of the left labial area. The patient was admitted to the hospital and, following surgical incision and drainage by the physician, wound exploration revealed tunneling extending into the perirectal and vaginal areas. ET Nurse consultation was requested to establish a wound treatment regimen. The system of dressing used were a sterile, rayon/polyester dressing impregnated with 15 percent crystalline sodium chloride to cleanse the wound of slough and debris, in a ribbon form to facilitate packing of tunneling; a sterile 0.9 percent sodium chloride solution in gel form to protect the wound bed and keep it moist during granulation and reepithelialization; and an absorbent pad to collect drainage. This system of dressings addressed the patient's specific needs, was easy to use and proved easy to teach to a family member managing the patient's wound care at home. During the 10 1/2 weeks of treatment, wound healing progressed steadily, odor diminished rapidly and granulation of the wound bed progressed to healing with no maceration of the surrounding skin.
一名68岁无肛周脓肿病史的女性在医院急诊科接受检查，自述左腹股沟区肿胀和压痛。体格检查发现左侧阴唇区红肿。患者入院后，医生进行手术切开引流，伤口探查发现瘘管延伸至直肠周围和阴道区域。遂请求造口伤口治疗护士会诊以制定伤口治疗方案。所使用的敷料系统包括：一种无菌的、浸渍有15%结晶氯化钠的人造丝/聚酯敷料，呈带状，用于清除伤口的腐肉和碎屑，便于填充瘘管；一种凝胶状的无菌0.9%氯化钠溶液，用于保护伤口床，在肉芽形成和上皮再形成期间保持其湿润；以及一个吸收垫用于收集引流液。这种敷料系统满足了患者的特殊需求，使用方便，事实证明也很容易教给在家中负责患者伤口护理的家庭成员。在10个半星期的治疗期间，伤口愈合进展顺利，气味迅速消散，伤口床的肉芽组织逐渐愈合，周围皮肤无浸渍现象。
