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伤口

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As treatment group A: Antiphlogistic agent and wound dressing changes were used with irradiation for 7 days but without irradiation on group B. Results 28 patients in group A were cured, 8 patients turned better, the total effective rate was 100%.

用随机方法将72例感染伤口和溃疡患者分为A、B两组,每组36例。A组为治疗组:在消炎、伤口换药基础上加用SL、红外线治疗仪照射伤口和溃疡7 d;B组为对照组:单纯消炎、伤口换药。

It is recommended that aureomycin be administrated locally in postoperative facial wounds.

局部加用金霉素眼膏进行面部伤口护理比传统的伤口护理方法伤口愈合为好。

Epidermal cells near the wound dedifferentiate and proliferate forming blastema and/or migrate to the wound plane forming a pre-epidermis consisting of several layers of stem cells covering the wound plane, which then re-differentiates further forming fully developed epidermis. Cells in the parietal peritoneum are also induced by injury to dedifferentiate into stem cells which then proliferate and migrate along the parietal peritoneum to the wound place forming a pre-peritoneum which re-differentiates into fully developed parietal peritoneum.

伤口愈合包括伤口闭合、顶端表皮层及体腔上皮的新生:创伤后的前4 d,残腕顶端的肌肉组织向伤口处迁移并重排使伤口闭合;创伤附近的表皮层细胞发生脱分化并增殖后迁移到创伤面形成由数层干细胞组成的前表皮层,之后进一步分化形成表皮层;而体腔上皮细胞在创伤诱导下也脱分化并增殖,然后沿体腔上皮迁移到创伤处形成"前体腔上皮",经再分化形成新的体腔上皮。

Methods Skin adhesive-EPIGLU was applied to the nasofacial wounds of 80 cases. For 50 cases with deep wounds, the soft tissue was sutured with 5-0 absorbable suture before the application of EPIGLU. EPIGLU was applied to directly conglutinate the wounds in 30 cases with superficial wounds without suture. All the patients were followed up for 30 days and the concrescence of wounds was observed.

将皮肤粘合剂爱必肤应用于鼻面部新鲜伤口共80例,其中50例较深伤口先经皮下5-0号可吸收缝线缝合皮下肌层,浅筋膜层对合皮肤后用爱必肤粘合伤口;30例较表浅伤口直接皮肤胶水粘合,观察创口愈合情况,随访30 d。

METHODS: Peripheral nerve injury models of New Zealand rabbits were established. The immediate repairing group received suture immediately after injury; For the other three groups, the two broken ends of their nerves were fixed on sarcolemmas temporarily and their wounds were sutured layer by layer. Then they were opened respectively at week 2, week 4 and month 3 after injury, to receive epineural suture with non traumatic 10-0 nylon suture under operating microscope, after which wounds were sutured again.

建立成年新西兰大白兔周围神经损伤模型,即时修复组立即缝合伤口,2周后神经修复组、4周后神经修复组、3个月后神经修复组采用神经两断端分别固定于肌膜上,逐层缝合伤口,2周,4周,3个月后重新打开伤口,在手术显微镜下用10-0无损伤尼龙针线进行外膜缝合修复坐骨神经,缝合伤口

The method undertakes to cut complete Qing Dynasty is achieved hemostatic hind, surgical department of applied plastics hairdressing is small achieve principle clip cut, average cut uses fine needle filament statified suture, the cut that the skin is short of caustic applies local skin valve or skin-grafting rehabilitate.

方法对伤口进行彻底清创止血后,应用整形美容外科微创原则修剪伤口,一般的伤口用细针细线分层缝合,有皮肤缺损的伤口应用局部皮瓣或植皮修复。

Results:the time of vim convalescence, draining, antibiotics use, fervescence, intention, hospitalization were all shorter in the presacral space clysis group than that in the tradional treatment group.the times of dressing wound and the number of secondary suture and c healing were all smaller in the presacral space clysis group than that in the tradional treatment group.and the infection rate of the former was 0.136 times of the latter.

结果:骶前冲洗组的精神状态恢复时间、血浆引流管保留时间、抗生素使用时间、体温升高时间、伤口愈合时间、住院时间均短于传统处理组,骶前冲洗组的换药次数、伤口二期缝合例数、伤口丙级愈合例数均少于传统处理组,以及骶前冲洗组的伤口不良愈合几率是传统处理组的0.136倍。

Epidermal cells near the wound dedifferentiate and proliferate forming blastema and/or migrate to the wound plane forming a pre-epidermis consisting of several layers of stem cells covering the wound plane, which then re-differentiates further forming fully developed epidermis. Cells in the parietal peritoneum are also induced by injury to dedifferentiate into stem cells which then proliferate and migrate along the parietal peritoneum to the wound place forming a pre-peritoneum which re-differentiates into fully developed parietal peritoneum.

伤口愈合包括伤口闭合、顶端表皮层及体腔上皮的新生:创伤后的前4 d,残腕顶端的肌肉组织向伤口处迁移并重排使伤口闭合;创伤附近的表皮层细胞发生脱分化并增殖后迁移到创伤面形成由数层干细胞组成的前表皮层,之后进一步分化形成表皮层;而体腔上皮细胞在创伤诱导下也脱分化并增殖,然后沿体腔上皮迁移到创伤处形成&前体腔上皮&,经再分化形成新的体腔上皮。

Methods Constructed the model of fetal scarless wound healing and investigated the expression of collagen in fetal and adult rat wounds by immunohistochemistry and in situ hybridization.

染色,Ⅰ、Ⅲ型胶原免疫组化,Ⅰ、Ⅲ型胶原原位杂交。结果胎鼠伤口愈合快,组织结构再生完全,没有瘢痕形成,胶原呈网状正常排列,Ⅰ、Ⅲ型胶原蛋白及表达均增多,同时伴细胞数增多,Ⅲ型胶原首先形成网状排列;成年伤口胶原纤维沉积慢,平行排列的胶原逐渐呈束状填塞伤口以致瘢痕形成,伤口内Ⅰ、Ⅲ型前胶原mRNA表达均增多,细胞数目增多不明显。

The author collected data by using comprehensive assessment and pencil-talking from January 8 to February 15, 2007 and identified chronic pain, impaired tissue integrity, and death anxiety of the case problems. For chronic pain, sleeping pillow with cold water, massage lymph and acupoints of head and neck, music and aroma therapy were used to release symptoms of the case pain. For impaired tissue integrity, during wound care, normal saline and furacin gauzes were used to wet-packing to release wound bleeding, and tree oil aroma put into the covering gauze to release the smelling, and used duoderm and low-allergic tapes to protect the skin around the wound.

笔者於2007年1月8日至2月15日期间藉由整体性护理评估及笔谈方式收集资料,确立个案有慢性疼痛、组织完整性受损、死亡焦虑等问题;针对慢性疼痛问题,采睡凉水枕、头颈部淋巴及穴位按摩、音乐及精油辅助疗法等措施来缓解个案的疼痛症状;针对组织完整性受损问题,於伤口护理时,选择生理食盐水湿纱和furacin纱布进行伤口湿敷,以缓解伤口出血,并於外层敷料加入茶树精油缓解伤口恶臭,同时运用人工皮及低过敏胶带来保护伤口周围皮肤。

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