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Ⅲ~Ⅳ度褥疮一直是临床治疗和护理难点,尤其是有潜行死腔的褥疮。传统Ⅲ~Ⅳ度褥疮常采用换药、皮片移植、局部皮瓣或臀大肌皮瓣等修复,但效果不理想。笔者采用可灌洗负压封闭技术(VSD)联合穿支皮瓣治疗Ⅲ~Ⅳ度有潜行死腔的褥疮患者进行护理,效果满意,现报道如下:1临床资料2007年8月至2014年12月,我院收治的褥疮患者25例,按“美国褥疮指导小组”褥疮诊断及分期标准,诊
Ⅲ ~ Ⅳ degree pressure ulcers has been a clinical treatment and nursing difficulties, especially the sore dead sores bedsores. Traditional Ⅲ ~ Ⅳ bedsore often dressing, skin grafts, local flap or gluteus maximus flap repair, but the effect is not satisfactory. I use the irrigation can be closed vacuum sealing technology (VSD) combined with perforator flap for the treatment of Ⅲ ~ Ⅳ degree of sneaking dead pressure decubitus patients with satisfactory results, are reported as follows: 1 Clinical data August 2007 to 2014 12 Month, 25 cases of patients with pressure ulcers admitted to our hospital, press “American bedsores guidance group ” bedsore diagnosis and staging standards, consultation