STEROID THERAPY AND WOUND HEALING IN SURGICAL PATIENTS
STEROID THERAPY AND WOUND HEALING IN SURGICAL PATIENTS
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DOI：
10.1002/bjs.1800520710
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发表时间：
1965-01-01
影响因子：
9.6
通讯作者：
GREEN, JP
中科院分区：
文献类型：
--
作者：
GREEN, JP
结果类固醇治疗病例的分析结果见表I。可以看出，总共38例病例中有11例出现伤口愈合并发症，发生率为29%。 II 例中，3 例伤口完全破裂（腹部爆裂），4 例伤口浅表部分破裂，需要重新缝合，4 例伤口长时间流脓。最后一组中的两人最终出现了切口疝，表明在这 2 例中，伤口深层组织发生了一些破坏。这些病例被分为两组，试图比较术前接受过长期类固醇治疗的患者（表 I 中标记为 * 的患者）和接受过短期类固醇治疗的患者。选择一周或更长的时间来表明长期类固醇治疗；该组有 29 名患者，其中 8 名出现伤口并发症（28%）。 9 名患者接受类固醇治疗不到一周，其中 3 名患者出现伤口并发症（33%）。
RESULTSThe results of the analysis of the cases on steroid therapy are given in Table I. It will be seen that 11 out of the total series of 38 cases had a complication of wound healing, an incidence of 29 per cent. Three of the II had a complete wound disruption (burst abdomen), 4 had a partial disruption of the superficial part of the wound requiring resuture, and 4 had prolonged discharge from the wound. Two of this last group eventually developed an incisional hernia, indicating that in these 2 cases some disruption of the deeper tissues of the wound had occurred.The cases were divided into two groups, in an attempt to compare those who had had long-term steroid therapy preoperatively (marked* in Table I) and those who had had short-term steroid therapy. A period of one week or longer was chosen to indicate long-term steroid therapy; there were 29 patients in this group and 8 showed wound complications (28 per cent). Nine patients received steroids for less than one week and 3 had wound complications (33 per cent).