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目的:探讨运用凡士林纱布引流阴道深部裂伤的疗效。方法:选取我院2010年7月期间住院的阴道深部裂伤患者2例,采用凡士林纱布引流的方式,观察伤口的愈合情况。结果:2例患者在产后均使用1‰新洁尔灭常规消毒阴道,用凡士林纱布加丁胺卡那2ml填塞阴道伤口腔隙内,48小时更换一次。连续更换3次,产妇自觉良好,42天随访,伤口愈合良好,无感染。结论:运用凡士林纱布进行阴道深部裂伤引流,可以有效减少深层次缝合的次数,大大缩短了缝合暴露时间及简化了深部缝合操作,避免了可能发生的损伤,并对防止手术过程中误伤肠壁起到积极作用,在预防血肿、伤口感染以及产后发热等症状都有明显的效果,值得临床推广。
Objective: To explore the use of Vaseline gauze drainage of deep laceration of the curative effect. Methods: Two cases of deep vaginal laceration hospitalized in our hospital during July 2010 were selected. Vaseline gauze drainage was used to observe wound healing. Results: Both of the two patients used 1 ‰ benzalkonium bromide to disinfect the vagina regularly. The vaginal wounds were filled with 2 ml Vaseline gauze plus amikacin. The vaginal wounds were replaced within 48 hours. Continuous replacement 3 times, maternal conscious good, 42 days follow-up, wound healing is good, no infection. Conclusion: Vaseline gauze for vaginal deep laceration can effectively reduce the number of deep suture, greatly shorten the suture exposure time and simplify the deep suture operation, to avoid the possible damage, and to prevent the process of accidental injury of the intestinal wall Play an active role in the prevention of hematoma, wound infection and postpartum fever and other symptoms have a significant effect, it is worth clinical promotion.