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目的:探讨粘贴式负压冲吸器在暴发性急性胰腺炎腹腔造口中的应用。方法:回顾性分析我院2例暴发性急性胰腺炎病人腹腔造口后应用粘贴式负压冲吸器治疗处理的效果。结果:粘贴式负压冲吸器使用后能早期在胰周引流处形成清洁、坚实的腔壁,有效避免感染,坏死组织能较快清除干净,腹腔脏器肿胀较早消退,胰瘘愈合提前,使渗出较早停止,切口皮肤干燥,皮肤切缘肉芽新鲜,伤口能随着冲洗逐渐靠拢。明显减少伤口换药次数、敷料消耗量及工作强度。结论:对于腹腔造口患者伴有大量胰周渗出及脏器肿胀的病人,粘贴式负压冲吸器是控制胰瘘、坏死渗出、保护脏器及切口皮肤的高效工具,值得在临床推广应用。
Objective: To explore the application of the stick-type negative pressure respirator in the peritoneal stoma of patients with fulminant acute pancreatitis. Methods: A retrospective analysis of 2 cases of patients with fulminant acute pancreatitis in our hospital after application of adhesive negative pressure suction device for treatment of abdominal stoma after treatment. Results: The adhesive negative pressure washer can form a clean and solid cavity wall early in the peri-pancreatic drainage to effectively prevent infection. The necrotic tissue can be quickly removed and the swelling of the abdominal organs subsides earlier, the pancreatic fistula heals ahead of time, Exudation to stop earlier, cut the skin dry, skin fresh granulation margin, the wound can gradually move closer with the flushing. Significantly reduce the frequency of dressing change, dressing consumption and work intensity. Conclusion: For patients with peritoneal stoma who have a large amount of peritumoral exudation and visceral swelling, the stick-type negative pressure washer is an effective tool to control the pancreatic fistula, necrotic exudate, and protect the organs and incision skin, which is worthy of clinical promotion application.