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Integrative Medicine Clinical observation of patients with severe pressure ulcers

High-pressure steam sterilization in the reserve. 2. I degree of pressure ulcers (n = 8) for the shallow tissue infections. Outflow of pus, ulcer formation, this time cleaning the wound with normal saline, jumping around to 75 alcohol disinfection. Radiation spectrum treatment only 30 minutes. Then the wound moist with normal saline. Powder on the withdrawal of chloramphenicol, covered with a layer such as the size of Lithospermum ointment gauze section, the outer layer of dry sterile gauze and then cover. Daily dressing changes, dressing changes according to the number of profiles circumstances. Such as wound exudate more. Lithospermum ointment gauze board asked the street drug time is shorter. 4 times a day the first few days. As the profile with the new granulation or epithelial tissue growth, may be appropriate to reduce the number of dressing changes. Otherwise they will have the amount of planing surface stimulation in early healing. 3. Ⅳ,[link widoczny dla zalogowanych], pressure ulcers (4 down) to see the local black carrion. Discharge more with the stench, the wells scattered around the skin swelling potential extension to the Ministry of class, or even up to the periosteum. Ⅳ degree of pressure ulcers under the conventional dressing we use, the local value with 3% hydrogen peroxide to wash clean the bottom plane, moving ashamed lightweight, cut them off and clear the local necrotic tissue remaining liquid with sterile gauze and exhaustion, and then normal saline wash. Around 75 alcohol disinfection. Spectrum treatment for exposure to 30 minutes. If those applications Lithospermum ointment gauze abscess drainage. Replacement of 2 times per day, 3 to 4 days to reduce pus, black slough off. If granulation tissue edema in the affected area sprinkled with chloramphenicol powder, paste and then covered with a layer of gauze Lithospermum, Japan replaced 2 times. 2 to 3 days after the edema completely disappeared, and later continue to use Lithospermum ointment gauze teaching at the local, while radiation with a spectrum analyzer, twice a day. With the improvement in the wound, the spectrum analyzer to reduce exposure times. As once a day. 'L ° bedsore treatment results 7 to 14 days more sound,[link widoczny dla zalogowanych], Ⅳ degree of pressure ulcers after treatment. Inflammation gradually improved. Fiber cells and epithelial cells active, granulation tissue is usually 43 * Growth, rustic Road, shallow, about 30 days long flat section, scab formation. 30 to 45 days healing scab off. Experience 1. Lithospermum ointment to heat and cooling blood, detoxification and business myogenic. Promote the necrotic tissue off and disappeared,[link widoczny dla zalogowanych], convergence. Promote epithelial tissue regeneration, for the treatment of l, Ⅳ degree of pressure ulcers,[link widoczny dla zalogowanych], and achieved the desired results. Lithospermum ointment locally easy to use. Markedly fast, I degree of pressure ulcers 24 to 48 hours significantly improved profiles. About a week to recover, Ⅳ degree of pressure ulcers in 42 days can be more sound. In the application of local non-stimulation, but also non-toxic side effects, relatively safe. Patients willing to accept, economical and convenient 2. Chloramphenicol is a broad-spectrum antibiotic powder,[link widoczny dla zalogowanych], its positive and Gram-negative bacteria _ all have a strong bactericidal effect, chloramphenicol powder absorbent. Changes to temperature and PH stability. Chloramphenicol powder used to maintain the drug concentration for a long time to achieve the full inhibitory and bactericidal effects, and it helps profile edema subsided. Promote the absorption of inflammation, the rapid growth of granulation tissue, while not easy to produce drug resistance and other side effects. Gentamicin wet before we got used to teach, although a large celebration is also a broad-spectrum antibiotic toxin, but we feel the use of chloramphenicol powder with the healing of sores better than gentamicin. 3. Radiation treatment for localized spectrum, the cell molecules to accelerate activities to promote local blood circulation, accelerate metabolism, improve nutrition to local tissue inflammation, convergence. But can also promote wound dry, scab, protecting epithelium, is conducive to tissue regeneration and repair. So. Should be irradiated after the first section. 4. Regular care and attention required to improve the patient's general condition, used in all 12 patients in this group air bed, turn over every 2 hours once the patient to keep mattress clean, dry and smooth. In addition to local treatment, given high-protein, high calorie, high vitamin easily digestible food. Anemia, weight loss protein from human blood were given to the input pin, once a week for 20g. (Received: 1997 ~ 09-21) very elbow flexion and extension rotation treatment of humeral epicondylitis Hospital of Taizhou City, Jiangsu Province (225300) Song Zhen Kui Bingtai ten years I used very elbow flexion and extension rotation on the treatment side of the bone Epicondylitis hundred cases of patients received good results. The methods described below. Hold the injured limb in patients with primary doctor for a hand under his elbow, wrist + dorsal wrist forced down, elbows to straighten up, pay attention to the power of small to large, so that when asked to straighten the elbow 2 to 3 minutes sometimes hear the tearing sound is the sound of soft tissue adhesions release, from outside to inside rotation after elbow flexion extension several times. Indications for this approach in patients of all ages. Particularly poor treatment by other therapies and long-term prolonged unhealed patients. Osteoporosis in elderly patients with excessive force should not be this way, be careful to avoid causing a fracture and lead to greater suffering. Shi also mocked the soft approach, coordinated action to the natural rhythm of light and heavy appropriate to begin to light, then gradually increase, should not rude. (Received} 1995-07-24)