アブストラクト
| Title | 6. NPWTの使い方 |
|---|---|
| Subtitle | FEATURE 重症開放骨折 究極の初期診療を行い, 患者を救え! [開放骨折の初期治療] |
| Authors | 佐藤和生 |
| Authors (kana) | |
| Organization | 札幌東徳洲会病院整形外科外傷センター医長 |
| Journal | 整形外科サージカルテクニック |
| Volume | 11 |
| Number | 5 |
| Page | 592-598 |
| Year/Month | 2021 / |
| Article | 報告 |
| Publisher | メディカ出版 |
| Abstract | 「はじめに」今や開放骨折の初期治療に欠かせない存在となったNPWT(Negative Pressure Wound Therapy:持続陰圧閉鎖療法)であるが, 普及とともに装置やオプションも進歩している. またそれに関する研究も多数行われており, エビデンスも蓄積してきた. 本稿ではNPWTの使用方法について解説する. 「Summary」・NPWTはwound bed preparationに有用なツール. ・間欠モードは肉芽形成促進効果が高いとされ, 植皮例などで考慮. ・適切なデブリドマンを行ったうえで使用する. ・Gustilo分類type III A かIII B か. 境界領域症例はNPWT中に判断. ・NPWTi-dは汚染/感染症例に良い適応. 「創傷の治癒過程とTIME理論」NPWTの作用機序を理解するには, まず創傷の治癒過程を考える必要がある. 開放創の治癒過程は, 出血・凝固期に始まり炎症期を経て増殖期へと進行していく. |
| Practice | 臨床医学：外科系 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に1,749円(税込) です。
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