感染を伴う難治性開放創の局所療法

抄録

We have reported six cases of open wounds with infection, and showed our methods or directions for local therapy of these wounds. Our methods are as follows.
1) To keep wounds clean, we let them take warm-water bathing and washing as frequently as possible.
2) We change gauze with liq. acrinol at least twice a day, and for wounds with much exudate, we use wet and dry dressings.
3) We usually use silver sulfa-diadin cream, or excise the necrotic tissue as soon as possible if the wounds are attached with thick necrotized tissue.
4) We use liq. acrinol gauze for wet and dry dressings on the wounds attached with little pieces of necrotized tissue, expecting effects of debridement.
5) For infected granulation, we excise it with leather cutter or use steroid cream in order to prevent multiplies of granulation.
6) For bleeding wounds, we use steroid cream and silicon gauze in order to prevent adhesion to the bandage.
7) We use isodine solution 3 or 4 times per day and keep wounds open for shallow ones to make them dry.