V. A. Mitish, Yu. S. Paskhalova, A. A. Ushakov, S. D. Magomedova, S. A. Orudzheva, R. P. Terekhova, V. S. Demidova, L. G. Alkhimova, G. V. Khamidulin
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引用次数: 0
摘要
文章介绍了对一名特发性远端多发性神经病患者足背痰肿成功进行综合治疗的临床观察。作者展示了化脓过程是如何得到缓解,然后转入伤口愈合状态和整形手术后的再生状态,这得益于 A. V. Vishnevsky 外科学研究所(莫斯科)开发的伤口和化脓坏死灶积极手术治疗技术。即使在手术感染的情况下,所描述的伤口也能按原意愈合。积极手术治疗的一个重要组成部分是局部疗法,目前这种疗法发展迅速,包括负压、超声波空化、激光技术等方法。不过,传统的化脓性伤口包扎法并没有失去其意义。此外,以聚乙二醇为基础的软膏,特别是经过时间验证的 Levomekol®,在伤口愈合过程的第一阶段(炎症)和第二阶段(再生)都能保持较高的活性和有效性,既能消除感染,又能为进一步的整形手术做好准备。
The comprehensive treatment of a phlegmon on the foot dorsum in a patient with idiopathic distal polyneuropathy
The article presents a clinical observation of a successful comprehensive treatment of a phlegmon on the foot dorsum in a patient with idiopathic distal polyneuropathy. The authors demonstrate how the purulent process was relieved, then transferred to the wound healing state and to the regeneration state followed by the plastic surgery due to the technique of active surgical treatment of wounds and purulent-necrotic foci developed at the A. V. Vishnevsky Institute of Surgery (Moscow). The described wound has healed with primary intention even under the surgical infection. An important component of the active surgical treatment is local therapy, which is rapidly developing at present and which includes such methods as negative pressure, ultrasonic cavitation, laser technologies and others. However, classic bandaging of purulent wounds does not lose its relevance. Moreover, polyethylene glycol-based ointments, in particular, timed-proven Levomekol®, preserve their high activity and effectiveness both in the first (inflammation) and second (regeneration) stages of the wound healing process, for both eliminating the infection and preparing wounds for further plastic surgery.