Carbuncle incision and drainage

Earthworm is an acute suppurative disease that occurs between flesh and blood. Diffuse suppurative inflammation caused by hemolytic streptococcus or Staphylococcus aureus invading the subcutaneous, fascia or deep loose connective tissue. Inflammation can be caused by infection of skin or soft tissue, or by localized suppurative infection, or by lymphatic and blood flow. Treating the disease: facial Indication The range of lesions of sputum is large, and the drainage is not smooth. When it can not be controlled by various non-surgical treatments, the antibiotics should be applied to the whole body for incision and drainage (except for facial and lip palsy). Preoperative preparation 1. Preoperative comorbidities (such as diabetes, tuberculosis, etc.) should be treated. 2. Rational use of antibiotics to prevent the spread of inflammation. 3. For critically ill patients or those with sepsis, they should actively improve their systemic resistance (such as infusion, blood transfusion, etc.). Surgical procedure 1. Incision: In the swollen swelling of the sputum, the shape of the + or ++ cut, the depth must reach the base of the sputum (deep fascia), the length must reach the healthy tissue at the edge of the lesion. 2. Open the flap: After cutting the skin, open the flap outwards to remove all the decayed and necrotic tissue under the skin to the deep fascia; if the deep fascia has been affected, it should also be cut. 3. Wash the wound: After the wound is cleaned with hydrogen peroxide, stop the bleeding with a gauze strip soaked with antibiotics (such as penicillin) or 50% magnesium sulfate solution, and then bandaged. complication 1. Toxic myocarditis manifests as high fever, chest tightness, palpitations, pulse rate, irregular heart rhythm, frequent ventricular premature beats. 2. Pneumonia. 3. Sepsis suddenly chills, followed by high fever up to 40 ~ 41 ° C, or low temperature, abnormal mind, pulse speed, liver and spleen can be swollen, severe cases of jaundice or subcutaneous bleeding. 4. Patients with lip palsy have a risk of spongy sinus thrombosis.

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