Cortimiglia-Bisch L, Brazinsky B
Regional Burn Center, University of California San Diego 92103, USA.
Ostomy Wound Manage. 1998 Mar;44(3):48-52, 54-5.
A patient with a ten-year history of heroin abuse presented to a wound healing clinic for treatment of multiple ulcerations to his upper arm. The largest measured 3.5 cm x 1.7 cm. The patient related that these wounds came from his i.v. heroin use. Previous treatments included iodine packed gauze, saline soaked fine mesh gauze, dakins solution, and wet-to-dry dressings; all treatments were unsuccessful. Treatment included cleansing the wound with normal saline, packing the ulcers with a calcium alginate rope, and wrapping the arm using a four-layer bandage. The dressing remained in place for 7-day time intervals. During the course of treatment, the patient remained heroin-free. No unscheduled dressing changes occurred, nor did the patient report discomfort with the dressing or during dressing changes. The patient was able to maintain complete range of motion throughout care. Complete healing was noted by day 42. The calcium alginate dressing combined with the 4-layer bandage system has proved successful in treating the patient.
一名有十年海洛因滥用史的患者前往伤口愈合诊所，治疗上臂的多处溃疡。最大的溃疡尺寸为3.5厘米×1.7厘米。患者称这些伤口源于其静脉注射海洛因。之前的治疗包括碘纱布填充、生理盐水浸湿的细网纱布、达金氏溶液和湿-干敷料；所有治疗均未成功。治疗方法包括用生理盐水清洗伤口，用海藻酸钙绳填充溃疡，并使用四层绷带包扎手臂。敷料每隔7天更换一次。在治疗过程中，患者未再使用海洛因。未发生意外的敷料更换情况，患者也未报告敷料或换药过程中有不适感。在整个护理过程中，患者能够保持完全的活动范围。在第42天时伤口完全愈合。海藻酸钙敷料与四层绷带系统相结合已被证明成功治愈了该患者。
