Vacuum sealing drainage with continuous irrigation of potassium permanganate to treatment traumatic gas gangrene
LU Lin
YE Zhewei
AN Ying
WU Xinghuo
WANG Jinlong
XUE Hang
YUAN Yiwen
Abstract：Objective To observe the clinical curative effect and application value of continuous flush of potassium permanganate combined with vacuum sealing drainage (VSD).Methods From June 2011 to November 2015, 42 patients of traumatic gas gangrene have been treated were enrolled in this study , among which , 24 patients were cured with amputation , the others were treated with limb salvage procedures .After amputation or limb salvage procedures , the wound of all patients were disposed of continuous flush of 1∶5 000 potassium permanganate solutions with VSD to control infection .Then evaluate the illness recovery degree of all patients after treatment .Results The follow up visit range from 8 to 20 months ( average 14 months ) , none of the patients relapse and the wound healed well .Sudden cardiac arrest during surgery occurred in one patient who suffered from severe hemorrhagic shock .Recovering well was found in patients after urgent cardio pulmonary resuscitation (CPR).Three patients suffered from mixed infection, which get well by several extensive debridement .Four patients suffered from severe pain after amputation or extensive debridement , which became well after treatment .Two patients of crush syn-drome accepted dialysis for concomitant renal failure .Conclusion Continuous flush of potassium permanganate combined with VSD system is a effective therapy method for traumatic gas gangrene .
Keywords：Gas gangrenePotassium permanganateWashingVacuum sealing drainageTrauma
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 947-950,954 )