SU1296156A1 - Method of healing wounds - Google Patents

Abstract

The invention shortens the healing time of wounds. Before starting hyperbaric oxygenation, a gnetobiological insulator is sealed in the damaged part of the patient's body, where the treatment is brought, then the patient is placed together with the insulator in a pressure chamber and oxygenated at a pressure of 1.8-2.0 am. In the future, continue treatment in the isolator until full recovery.

Description

-.

This invention relates to medicine, in particular to therapy.

The purpose of the invention is to reduce the treatment time by providing sterility, preventing reinfection, and creating sufficient oxygen in the wound tissue.

The method is carried out as follows.

Before starting hyperbaric oxygenation, an isolator, for example, made of a polyvinyl chloride film, in which sterile conditions are created and treated, is hermetically sealed on the damaged part of the patient's body. Then, the patient is additionally placed together with the isolator in a pressure chamber and a session of hyperbaric 1 oxygenation is carried out; with oxygen pressure 1.8-2.0 at. Between the sessions, wound treatment in a sterile gas environment is continued throughout the entire course of treatment.

Example 1. Sick G. was admitted with a diagnosis of 5 years: extensive bruised sialpirovanny wound of the left hip and right tibia, wound of the left upper extremity, open meta-epiphyphysiolysis of the left tibial bone, fracture of the right tibia, fracture of the right right bone, bone fracture pelvis, brain loss.

The wounds on the upper limb, left thigh and right lower leg are treated. Each flap on the right tibia had a pale bluish color, which indicated sharp violations of its trophism. To prevent the wound from being reinfused, a local insulator biological insulator is placed on the right lower extremity. In spite of the complex of therapy being carried out, pronounced disorders of the trophism of the transplanted skin graft remained. In order to improve the nutrition of the disease flaps, 5 sessions of hyperbaric oxygenation have been carried out without stopping the biothobiological isolation. The session is carried out at 1.8 AT for AO minutes. At the same time, an excess oxygen pressure of 10 cm of water column is constantly maintained in the gnotobiological insulator. After the 1st session, the cyanosis of the flap disappeared, appeared in its hyperemia, the number of detachable from incisions increased. A polarization is carried out before and after the session, at which an increase in the oxygen pressure in the transplanted skin is noted by a factor of 3–4, which indicates that the skin flap remains viable. By the 5th session, persistent hyperemia of the flap between the sessions is noted, and therefore treatment is stopped. Subsequently, the child continued to be treated in the insulator until complete recovery. Necrosis of the skin and wound suppuration was not observed.

Example 2, Patient K., 8 years old, was admitted with a diagnosis: extensive scalped wound of the right tibia, shock 1-2 degrees. The wound is treated with plastics of the skin flap. Subsequently, a violation of the trophism of the skin graft was noted, as evidenced by the pallor and bluish tint of it. To prevent reinfection, a local gnobiological insulator is superimposed. In order to improve engraftment of the skin flap, treatment in the pressure chamber is used in combination with local isolation, for which the patient and the isolator are placed in a pressure chamber where oxygen pressure up to 2.0 atm is created. A total of 3 sessions were conducted. After the 1st session, the disappearance of the cyanosis of the flap and its hyperemia are noted. After 3 sessions, the skin flap completely turned pink, which indicates its engraftment. Further treatment is continued under local isolation. Suppuration and necrosis of the skin flap was not.

Thus, the combination of hyperbaric oxygenation and local biotoxic isolation leads to the elimination of pltoxia in tissues, oxygen saturation and the prevention of infection and reinfection.

On average, 8 treatments are needed per course of treatment.

The effectiveness of the proposed method is presented in the table.

Claims (1)

 Invention Formula The method of treating wounds, which involves placing the wound surface in an isolated abacterial medium, is distinguished by the fact that, in order to shorten the treatment time, it is additionally simultaneously affected by hyperbaric oxygenation at an oxygen pressure of 1.8-2.0 at. 10-14 days 5-7 days Editor M.Tovtin Compiled by M.Pozn to Tehred M.Hrdanych Order 647/7 Circulation 596 Subscription VNIIPI USSR State Committee for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5 Production and printing company, Uzhgorod, yjri. Project, 4 10-14 days. 62 5-7 days 54 Proofreader A. Obruchar