| 摘要 |
FIELD: medicine.SUBSTANCE: suppurative focus is opened and sanitated, and a wound is closed tightly. The postoperative period involves the programmed irrigation-aspiration sanation according to the following region. If the patient suffers a segmental phlegmon complicated with sepsis, patient's SAPS severity is 10 and more, a degree of purulo-necrotic involvement according to W.F. Wagner is 5, then a irrigation rate is considered to be 150ml/min, an aspiration rate is 300ml/min, an irrigation length is one minute, an aspiration length is 0.6 minute with the irrigation and aspiration cycles making not less than 5 and no more than 10 minutes. If the patient suffers a segmental phlegmon complicated with a systemic inflammatory response, patient's SAPS severity is within 9 to 6 points, a degree of purulo-necrotic involvement according to W.F. Wagner is 4, then a irrigation rate is considered to be 150ml/min, an aspiration rate is 200ml/min, an irrigation length is 0.8 minute, an aspiration length is 0.6 minute with the irrigation and aspiration cycles making not less than 19 and no more than 15 minutes. If the patient suffers a septic wound of the foot, a deep ulcer with the phlegmon, patient's SAPS severity is 5 and less, a degree of purulo-necrotic involvement according to W.F. Wagner is 2-3, then a irrigation rate is considered to be 120ml/min, an aspiration rate is 200ml/min, an irrigation length is 0.4 minute, an aspiration length is 0.5 minute with the irrigation and aspiration cycles making not less than 10 and no more than 15 minutes.EFFECT: effective treatment of the given patients by taking into account the intensity of clinical manifestations of the wound infection and pus pocket dimensions.1 tbl |
