Objective:To investigate the clinical efficacy of the vacuum sealing drainage(VSD)used to treat injury of limb’s skin and soft tissue, and to explore nurse methods of it. Method:30 cases of skin and soft tissue injury treated by VSD in our hospital from March 2008 to April 2012,the clinical data and nursing efficacy about them were retrospectived. Result:30 patients with postoperative wound drainage after VSD skin graft survived completely. Postoperative follow-up 0.5-3.0 years,physical appearance and functionality of a good recovery. Closed negative pressure drainage and effective nursing care process,drainage unblocked,no infection and complications,nursing the result satisfied. Conclusion:VSD used to treat limb’s skin and soft tissue injury can reduce the absorption of toxins,promote wound healing,reduce swelling,reduce the number of dressing changes,shorter hospital stays;Care focuses on close observation of the vacuum,maintaining unobstructed drainage. Vacuum sealing drainage is the ideal choice for early treatment of limb’s skin and soft tissue injury.%目的：观察四肢皮肤软组织损伤治疗中使用封闭式负压引流技术（vacuum sealing drainage，VSD）的临床疗效，探讨护理方法。方法：回顾性总结本院2008年3月-2012年4月采用VSD治疗的30例四肢皮肤软组织损伤患者的临床资料及护理疗效。结果：30例患者创面经VSD引流术后植皮完全成活。护理过程中负压引流密闭有效，引流通.，无感染及并发症发生，护理结果满意。术后随访0.5~3.0年，肢体外观和功能恢复良好。结论：四肢皮肤软组织损伤的治疗中VSD可以一期封闭创口、减少毒素吸收，促进创面愈合，减轻肿胀，减少换药次数，缩短住院时间；护理重点是密切观察负压密闭情况、保持引流通.。封闭式负压引流是四肢皮肤软组织损伤早期治疗的理想选择。
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