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| A report on four cases with non-healing wounds caused by postcardiac surgery treated by the combination of ulcer oil and nano-silver |
| LIU Shouyao1 YUAN Quan1 ZHAO Ruisong2 ZHAO Qichao3 XIA Zhongyuan1 |
1.Surgery of Traditional Chinese Medicine, China-Japan Friendship Hospital, Beijing 100029, China;
2.Department of Pathology, China-Japan Friendship Hospital, Beijing 100029, China;
3.Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, China |
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Abstract The complications of postcardiac surgery such as wound infection, cracking, hematoma and delayed union, etc. The chest wall and lower limb blood vessel donor sites have high incidence rates, limited therapeutic methods and high difficulty in wound healing, and they are clinical problematic issues. Ulcer oil and nano-silver were used to treat the wound cracking of postcardiac surgery and found that the combination could accelerate the wound healing. The four clinical cases reported in this paper had been treated in hospitalization of China-Japan Friendship Hospital during the period from 2018 to 2020 (three males and one female), who had been performed open chest surgery, but their wounds had not been healed for one month after the surgery. The main expressions were wound dehiscence, wound edge necrosis, formation of hard scab, inactivation of wound internal tissue, sternum cracking and fester accumulation. Two cases were also with Acinetobacter baumanii planting; three cases were with the non-healing wounds of chest wall, two cases were with non-healing wounds of lower limb blood vessel donor site, one case was with sternum cracking of sternum, and the internal fixator was loosen. The wound was treated with the external application of ulcer oil combined with nano-silver after debridement surgery, and the dressings were changed every other day. The four cases’ wounds were healed on 65, 45, 40 and 65 days later, with the average healing time of 53.75 days. The combination of ulcer Oil and nano-silver could accelerate the healing progress of the delayed healing of wounds caused by postcardiac surgery. It is mainly applicable for superficial wounds of sternum surface and wounds of El Oakley Ⅰ Type and Ⅱa Type and wounds in lower limbs blood vessel donor site.
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