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目的:研究临床上糖尿病患者外伤清创术后继发伤口感染的主要特征、治疗措施与预防办法。方法:回顾性分析我院自2010年5月到2012年5月间所收治的48例糖尿病患者外伤清创术后继发伤口感染的临床资料。结果:该组48位患者在对血糖进行监测的同时,使用了围手术期控制的办法,采取了理疗、清除坏死的组织与抗炎等措施,确保了引流的充分性;对于那些创口相对较大的患者,在清洁了其创口之后对其进行了二期缝合治疗,其伤口愈合情况理想。通过随诊,发现伤口液化感染的情况并未出现。
Objective: To study the main characteristics, treatment and prevention of secondary wound infection after traumatic debridement in diabetic patients. Methods: The clinical data of 48 consecutive diabetic patients with wound infection after traumatic debridement in our hospital from May 2010 to May 2012 were retrospectively analyzed. Results: During the monitoring of blood glucose, 48 patients in this group used perioperative management, physical therapy, removal of necrotic tissue and anti-inflammatory measures to ensure the adequacy of drainage. For those with relatively tight wounds Large patients, who have undergone secondary suturing after cleaning their wounds, have ideal wound healing. Through follow-up, found wound wound infection did not occur.