负压封闭引流技术.ppt

Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company Logo,*,Click to edit Master title style,VSD,负压封闭引流技术的相关护理,外二科 李娜,Company Logo,VSD,负压引流技术的优点,不受体位的限制，达到全创面引流，不易堵塞管腔，引流通畅。,用生物透性膜封闭，污染与感染，并能保持持续的高负压状态。,加快创面愈合。,减轻了病人的痛苦及经济负担，也减轻了医务人员的工作量。,操作简单易行。,Company Logo,VAC,负压,封闭装置,的组成,床头中心负压装置,或专门负压器,VSD,敷料,粘贴膜,多侧孔硬质引流管,三通接头,Company Logo,.,几种特殊材料的特点,VSD,敷料,白色泡沫型,合成敷料,成分为聚,已烯醇，无,刺激，抗张,力强，有良,好的可塑性,透水性和生,物相容性。,粘贴膜,多侧孔硬,质引流管,施乐辉半透膜,，具有良好的,生物相容性和,透氧透湿性能，对皮肤无刺激，同时能防止和阻止细菌入侵,引流管为,多侧孔硬,质引流管，,直径,8mm,Company Logo,VAD,负压封闭引流术 适应范围,1,2,3,4,TEXT,5,6,7,8,难,治,性,的,软,组,织,缺,损,创,口,骨,髓炎,骨,肌,腱,外,露,的,慢,性,伤,口,糖,尿,病,足,溃,疡,压,迫,性,溃,疡,术,后,口,裂,开,静,脉,淤,滞,性,缺,血,性,溃,疡,各,种,慢,性,瘘,管,、,窦,道,感,染,创,面,Company Logo,VSD,负压封闭引流作用原理,一是促进血液循环,二是防止创口迅速愈合，影响病灶引流。,三是,有效地清除残余坏死组织及炎性渗出物,减轻水肿，利于创面愈合。,四是机械牵拉作用：促进成纤维细胞的分裂,增殖，促进了新生肉芽组织的生长。加速,创面的愈合。,Company Logo,VSD,负压封闭引流技术的护理,1,常规护理,2,3,.,负压封闭,引流管的护理,创面的观察,和护理Company Logo,5,常规护理,1,2,3,4,观察患肢末梢血液循环,;,保持患肢功能位,患肢垫高,20,30cm,合理选用抗生素治疗,鼓励患者深呼吸,多饮水定时翻身、拍背,保持床铺平整、干燥、清洁,经常按摩受压部位,Company Logo,负压封闭引流管的护理,持续高负压，一般应维持负压,450,600mmHg,保持各部位封闭状态,防止漏气。,严格无菌操作,严密观察引流液的量、质,并正确记录,3.5,引流周围皮肤的观察与护理,粘贴薄膜区域的皮肤容易发生张力性水疱，在粘贴薄膜时避免过度牵拉皮肤，还可用氧化锌软膏涂擦皮肤周围以预防性保护皮肤,Company Logo,1,、,2,、,3,、,严格无菌操作,4,、更换步骤：先钳夹引流管,关闭负压源,然后更换吸引瓶,避,免医源性感染。,4,、,如有大量新鲜血液被吸出,应考虑创,面是否有活动性出血,及时报告医生,做好相应正确的处理。,5,、,1,次负压封闭引流可维持有效期,7,10d,一般在,10d,后拔除或更换。对于大,面积骨外露,污染特别严重的创面,可行,VSD,治疗,2,3,次,时间可达,15,20d,。,Company Logo,Diagram,1,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,2ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,3,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Company Logo,护理要点,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Company Logo,Cycle Diagram,Text,Text,Text,Text,Text,Cycle name,Add Your Text,Company Logo,Diagram,Text,Text,Text,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Add Your,Title Text,Text 1,Text 2,Text 3,Text 4,Text 5,Text,Text,Company Logo,Diagram,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Add Your Text,Company Logo,Diagram,Add Your Text,Add Your Text,Add Your Text,Add Your,Title,Company Logo,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,ThemeGallery is a Design Digital Content&Contents mall developed by Guild Design Inc.,Diagram,Text,Text,Text,Company Logo,Diagram,Add Your Title,Text,Text,Text,Text,Company Logo,Diagram,Click to,add Title,Text,Text,Text,Text,Company Logo,Diagram,1,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,2,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,3,ThemeGallery,is a Design Digital Content&Contents mall developed by Guild Design Inc.,Company Logo,Diagram,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,Your Text,2001,2002,2003,2004,Company Logo,Table,Concept,Concept,concept,Concept,Company Logo,Table,Title,Title,Title,Title,Title,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,O,O,O,O,Title,O,X,O,X,O,Company Logo,Text1,Text2,Text3,Text4,Text5,3-D Pie Chart,Company Logo,Marketing Diagram,Company Logo,Thank You!,