Ⅳ期压疮患者如不及时治疗,延伸至肌肉和支撑组织,伴有骨、肌腱或肌肉外露,出现肌肉关节感染、骨髓炎,甚至危及生命。封闭式负压引流(VSD)技术是利用负压吸引装置与特殊创面敷料连接,间接或持续地使创面保持在负压状态,促进创面愈合的治疗方法~[1]。2013年5月至2016年2月我科应用VSD联合肌皮瓣转移治疗Ⅳ期压疮患者13例,效果较满意,总结护理体会如下:1临床资料 Ⅳ stage pressure ulcer patients if not treated, extending to the muscles and supporting tissues, accompanied by bone, tendon or muscle exposure, muscle joint infection, osteomyelitis, and even life-threatening. Closed negative pressure drainage (VSD) technology is the use of vacuum suction device and a special wound dressing connection, indirectly or continuously maintain the wound surface at a negative pressure to promote wound healing [1]. From May 2013 to February 2016, 13 cases of stage Ⅳ pressure ulcer were treated with VSD combined with myocutaneous flap in our department. The results were satisfactory. The nursing experience summarized as follows: 1 Clinical data