期刊文献+

开放性骨损伤的治疗 被引量:2

Treatment of open bone injury
下载PDF
导出
摘要 如何有效治疗开放性骨损伤,一直是骨科领域长期致力解决的难题。目前对开放性骨损伤的治疗原则是:(1)正确判断损伤类型;(2)伤口尽早彻底清创冲洗;(3)合理有效的抗生素应用;(4)骨损伤适时正确固定和植骨修复;(5)伤口适时正确关闭。对上述原则新内涵的重新认识、深刻理解、严格遵循是确保开放性骨损伤得到正确处理、获得理想疗效的关键。 How to effectively treat open bone injury has been a long-term challenge in the field of orthopedics problems.At present,the open bone injury principles include(1) judging the types of injury correctly;(2)debriding the wound as soon as possible;(3) using antibiotics reasonably and effectively;(4) fixing and repairing injury bone timely and correctly;(5) closing the wound timely and properly.These principles are key points to ensure proper treatment and good curative effect of open bone injury.
作者 袁志 刘建
出处 《创伤外科杂志》 2010年第5期478-480,F0003,共4页 Journal of Traumatic Surgery
关键词 骨损伤 治疗 bone injury treatment
  • 相关文献

参考文献18

  • 1Brown KV, Ramasamy A, Tai N, et al. Complications of extremity vascular injuries in conflict [ J ]. J Trauma, 2009,66 ( 4 Suppl ) : S145 - 149.
  • 2Weitz-Marshall AD, Bosse MJ. Timing of closure of open fractures [J]. J Am Acad Orthop Surg,2002,10(6) :379 -384.
  • 3Schwabe P, Haas NP, Schaser KD. Fractures of the extremities with severe open soil tissue damage. Initial management and reconstructive treatment strategies [ J ]. Unfallehirurg,2010,113 ( 8 ) :647 - 670.
  • 4Gustilo RB, Merkow RL, Templeman D, et al. Current concepts rewiew, the management of open fractures [ J ]. J Bone Joint Surg (Am), 1990, 72(2) :209 -304.
  • 5朱通伯,戴尅戎.骨科手术学[M].3版.北京:人民卫生出版社.2006:225-231.
  • 6Crowley DJ, Kanakaris NK, Giannoudis PV. Debridement and wound closure of open fractures: the impact of the time factor on infection rates [ J ]. Injury ,2007,38 ( 8 ) 879 - 889.
  • 7Brown KV, Walker JA, Cortez DS, et al. Earlier debridement and antibiotic administration decrease infection[ J]. J Surg Orthop Adv, 2010,19( 1 ) : 18 -22.
  • 8Ako-Nai AK, lkem IC, Daniel FV, et al. A comparison of superficial and deep bacterial presence in open fractures of the lower extremities [ J ]. Int J Low Extrem Wounds,2009,8 (4) : 197 - 202.
  • 9lkem IC, Oginni LM, Bamgboye EA, et al. The bacteriology of open fractures in lle-Ife, Nigeria[J]. Niger J Med,2004,13(4) :359 -365.
  • 10Patzakis M J, Bains RS, Lee J, et al. Prospective, randomized,double-blind study comparing single-agent antibiotictherapy, ciprofloxacin, to combination antibiotic therapy in open fracture wounds [J]. J Orthop Trauma, 2000,14(8) :529 -533.

二级参考文献8

  • 1孟志斌,姜国祥,孙材江,邹学农.结合利福平的珊瑚人工骨预防骨感染的实验研究[J].中华创伤杂志,1996,12(6):388-389. 被引量:8
  • 2Thomas DB, Brooks DE, Bice TG, et al. Tobramycin - impregnated calcium sulfate prevents infection in contaminated wounds. Clin Orthop, 2005, (441) :366 -371.
  • 3Bibbo C, Patel DV. The effect of demineralized bone matrix - calcium sulfate with vancomycin on calcaneal fracture healing and infection rates: a prospective study. Foot Ankle Int, 2006, 27:487 -493.
  • 4Beardmore AA, Brooks DE, Wenke JC, et al. Effectiveness of local antibiotic delivery with an osteoinductive and osteoconductive bone - graft substitute. J Bone Joint Surg (Am), 2005, 87:107 -112.
  • 5Li XD, Hu YY. The treatment of osteomyelitis with gentamicin - reconstituted bone xenograft - composite. J Bone Joint Surg ( Br), 2001, 83:1063 - 1068.
  • 6Ostermann PA, Seligson D, Henry SL. Local antibiotic therapy for severe open fractures. A review of 1085 consecutive cases. J Bone Joint Surg (Br), 1995, 77:93-97.
  • 7吴宏斌,郑启新,徐逢仁,李世谱,刘畅,阎玉华.局部缓释药丸防治开放性骨折感染的实验研究[J].中华创伤杂志,1998,14(4):226-229. 被引量:28
  • 8袁志,胡蕴玉,孙梁,刘建,雷伟,王彦清,孙怡群,夏洁来.抗感染重组合异种骨系列实验研究[J].中华医学杂志,2003,83(2):128-132. 被引量:22

共引文献9

同被引文献29

  • 1龚伟华,朱振安,孙月华.胫腓骨开放性骨折的分期治疗[J].国外医学(骨科学分册),2004,25(4):220-222. 被引量:38
  • 2胥少汀,葛宝丰,许印钦.实用骨科学[M].第3版.北京:人民军医出版社,2008:3.
  • 3陈文祥,申子瑜,杨振华.临床检验中的测量不确定度[J].中华检验医学杂志,2007,30(9):967-971. 被引量:31
  • 4Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty - five open frac- tures of long bones : retrospective and prospective analy- ses[ J ]. J Bone Joint Surg (Am), 1976,58 (4) : 453- 458.
  • 5Fleischmann W, Strecker W, Bombelli M,et al. Vacuum sealing as treatment of soft tissue damage in open frac- tures [ J ]. Unfallchirurg, 1993,96 ( 9 ) :488-492.
  • 6Klein MP, Rahn BA, Frigg R, et al. Reaming versus non-reaming in medullary nailing:interference with cor- tical circulation of the canine tibia [ J ]. Arch Orthop Trauma Surg, 1990,109 (6) : 314-316.
  • 7Forster MC. Should the tibia be reamed with nailing [ J]. Injury,2006,37 (9) :923.
  • 8Godina M. Early microsurgical reconstruction of com- plex trauma of the extremities [ J ]. Plast Reconstr Surg, 1986,78 ( 3 ) :285-292.
  • 9Brenner P, Rammeh S, Gavlik JM, et al. Early soft tis- sue coverage after complex foot rtrauma [ J ]. World J Surg, 2001,25 ( 5 ) : 603-609.
  • 10Rinker B, Calerio IL, Stewart DH, et al. Microvascular free flag reconstruction in pediatric lower extremity trau- ma:A 10 - year review[ J]. Plast Reconstr Surg,2005, 115(6) :1 618-1 624.

引证文献2

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部