debridement

出典: meddic

デブリードマン

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「surgical removal of foreign material and dead tissue from a wound in order to prevent infection and promote healing」

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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/06/10 19:52:28」(JST)

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英文文献

  • Treatment of two cases of Fournier's gangrene and review of the literature.
  • Rubegni P, Lamberti A, Natalini Y, Fimiani M.Author information Department of Clinical Medicine and Immunological Sciences, Dermatology Section, University of Siena , Italy.AbstractFournier's gangrene is a rare polymicrobial necrotising soft tissue infection affecting the perineum and scrotum. It is rapidly progressive, destructive and associated with high morbidity and mortality. Management protocol includes prompt diagnosis, early institution of antibiotic therapy and adequate wound debridement, usually requiring multiple operations. Rapid accurate diagnosis is crucial for successful outcome, while early aggressive surgical intervention together with fluid, hemodynamic and nutritional support and broad-spectrum antibiotics are essential to reduce mortality. Dermatologists are often the first specialist consulted. Two cases of Fournier's gangrene are reported in this report. The aim of the report is to underline the importance of an immediate diagnostic approach to save patients, favoured by a close collaboration among dermatologist, surgeon and urologist.
  • The Journal of dermatological treatment.J Dermatolog Treat.2014 Apr;25(2):189-92. doi: 10.3109/09546634.2012.751480. Epub 2013 Feb 3.
  • Fournier's gangrene is a rare polymicrobial necrotising soft tissue infection affecting the perineum and scrotum. It is rapidly progressive, destructive and associated with high morbidity and mortality. Management protocol includes prompt diagnosis, early institution of antibiotic therapy and adequa
  • PMID 23164064
  • Patient-centered wound teleconsultation for cutaneous wounds: a feasibility study.
  • Chen CH, Young TH, Huang CH, Chang HH, Chen CL, Chien HF, Chen JS, Lai HS, Cheng NC.Author information From the *Department of Surgery, National Taiwan University Hospital and College of Medicine; †Institute of Biomedical Engineering, National Taiwan University, Taipei; ‡National Taiwan University Hospital Yun-Lin Branch, Yun-Lin; and §National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.AbstractINTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology.
  • Annals of plastic surgery.Ann Plast Surg.2014 Feb;72(2):220-4. doi: 10.1097/SAP.0000000000000031.
  • INTRODUCTION: The purpose of this study was to investigate the feasibility of patient-centered teleconsultation for various cutaneous wounds by using store-and-forward technology.MATERIALS AND METHODS: From July 2011 to November 2011, 53 patients with various wound conditions were enrolled in this s
  • PMID 24317247
  • Autotransplantation or replantation of cryopreserved teeth: a case series and literature review.
  • Yoshizawa M, Koyama T, Izumi N, Niimi K, Ono Y, Ajima H, Funayama A, Mikami T, Kobayashi T, Ono K, Takagi R, Saito C.Author information Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.AbstractBACKGROUND: The aim of this report was to evaluate the outcome of autotransplantation or replantation of cryopreserved teeth clinically and radiographically. Donor teeth were slowly frozen in a controlled-rate freezer using 5% dimethylsulfoxide (DMSO) and 6% hydroxyethyl starch (HES) as protectants. Seven cryopreserved teeth, with duration of storage ranging from 4 to 36 months, were autotransplanted or replanted at Niigata University Medical and Dental Hospital. Endodontic treatment involving root canal debridement followed by interim root canal filling with calcium hydroxide was started 3 weeks after the operation and continued with replacement of the calcium hydroxide filling at 2-week to 3-month intervals. Three transplants showed periodontal regeneration clinically and radiographically, whereas replacement root resorption was observed in the remaining transplants. From the results, it can be concluded that cryopreserved tooth autotransplantation has potential for clinical use; however, the risk of replacement root resorption remains.
  • Dental traumatology : official publication of International Association for Dental Traumatology.Dent Traumatol.2014 Feb;30(1):71-5. doi: 10.1111/edt.12039. Epub 2013 Mar 10.
  • BACKGROUND: The aim of this report was to evaluate the outcome of autotransplantation or replantation of cryopreserved teeth clinically and radiographically. Donor teeth were slowly frozen in a controlled-rate freezer using 5% dimethylsulfoxide (DMSO) and 6% hydroxyethyl starch (HES) as protectants.
  • PMID 23480134

和文文献

  • Iodoform Gauze Removes Necrotic Tissue from Pressure Ulcer Wounds by Fibrinolytic Activity
  • Mizokami Fumihiro,Murasawa Yusuke,Furuta Katsunori [他]
  • Biological & pharmaceutical bulletin 35(7), 1048-1053, 2012-07
  • NAID 40019318571
  • 創の洗浄とデブリードマン (特集 研修医のためのER診療マニュアル(2)基本手技・検査編) -- (四肢・軟部組織)

関連リンク

Debridement is the medical removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. Removal may be surgical, mechanical, chemical, autolytic (self-digestion), and by maggot therapy, ...
23 Mar 2011 ... If you like this animation, LIKE us on Facebook: http://www.nucleusinc.com/ facebook http://www.nucleusinc.com/medical-animation This 3D animation provides an...

関連画像

DebridementVersajet debridement of woundimagetibialis posteror debridementTibialis posteror debridement-Expose the PK081011m


★リンクテーブル★
国試過去問097F048」「096E043」「098E012
リンク元デブリードマン」「necrosectomy」「デブリドマン」「創傷郭清」「病巣清掃術

097F048」

  [★]

  • 次の文を読み、47、48の問いに答えよ。
  • 63歳の女性。交通事故後に救急車で搬入された。
  • 現病歴 : 自転車に乗っていて自動車に衝突され受傷した。
  • 現症 : 意識は清明。体温36.7℃。脈拍104/分、整。血圧96/72mmHg。骨盤周囲に強い圧痛がある。右下腿には開放創があり、泥が付着した骨折部が露出している。
  • 検査所見 : 尿所見:黄色透明、蛋白(-)、潜血(-)。血液所見:赤血球350万、Hb11.3g/dl、Ht32%、白血球11,000、血小板25万。骨盤エックス線単純写真(別冊No.6)を別に示す。


  • 骨盤病変への対応の後、下腿に対してまず行うべき処置はどれか。
  • a. 創のdebridement
  • b. 骨折の整復固定
  • c. 筋膜の縫合
  • d. 神経の縫合
  • e. 静脈の縫合
[正答]


※国試ナビ4※ 097F047]←[国試_097]→[097F049

096E043」

  [★]

  • 受傷10時間後の開放骨折で適切な処置はどれか。
  • a. 開放創内のdebridement
  • b. 骨折周囲組織の温存
  • c. 挫滅した皮膚の温存
  • d. 強固な内固定
  • e. 人工骨の移植
[正答]


※国試ナビ4※ 096E042]←[国試_096]→[096E044

098E012」

  [★]

  • 仙骨部の褥創の予防または治療に適切でないのはどれか。
[正答]


※国試ナビ4※ 098E011]←[国試_098]→[098E013

デブリードマン」

  [★]

debridement
壊死組織切除病巣清掃術デブリドマン創傷郭清創傷清拭
[show details]



necrosectomy」

  [★]

ネクロセクトミー
[[]]
  • Surgery Excision of necrotic tissue. debridement.
http://medical-dictionary.thefreedictionary.com/necrosectomy


デブリドマン」

  [★]

debridement
壊死組織除去創傷郭清
debridement


創傷郭清」

  [★]

debridement
壊死組織切除、病巣清・術、デブリードマンデブリドマン


病巣清掃術」

  [★]

debridement
壊死組織切除デブリードマンデブリドマン創傷郭清




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