Observation on Effect of Suture Wound Immediately after Tracheotomy and Extubation in Burn Patients
Objective To investigate the clinical efficacy and feasibility of gas incision debridement and suture immediately after gas extubation in burn patients.Methods A total of 62 burn patients admitted to the author's department from March 2015 to March 2022 were selected,all of whom underwent traditional tracheotomy.When the condition was stable after treatment and no longer needed artificial airway,the air incision debridement and suture were performed immediately after the removal of the gas cutting cannula.Results All 62 patients healed and had stitches removed in 7-9 days,with an average of 7.7 days.2 cases due to long indwelling time of gas-cut cannula,large fistula after extubation,and brittle surrounding tissue,the tissue was loosened by suture cutting,and the suture was still healed in one stage after strengthened suture.The postoperative follow-up was more than 6 months,only 3 cases had slight depressed scar,the remaining wounds healed well,the local area was relatively flat,and no cases of re-debridement and suture of surgical infection occurred.Conclusion Immediate debridement and suture repair of burn patients after extubation of gas incision is simple,quick healing,and can communicate with each other immediately after surgery,which is safe and effective,with little surgical risk and good clinical effect.
万方数据
维普
