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首页> 外文期刊>Journal of Zoo and Wildlife Medicine >SURGICAL AMPUTATION OF A DIGIT AND VACUUM-ASSISTED-CLOSURE (VAC) MANAGEMENT IN A CASE OF OSTEOMYELITIS AND WOUND CARE IN AN EASTERN BLACK RHINOCEROS (DICEROS BICORNIS MICHAELI)
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SURGICAL AMPUTATION OF A DIGIT AND VACUUM-ASSISTED-CLOSURE (VAC) MANAGEMENT IN A CASE OF OSTEOMYELITIS AND WOUND CARE IN AN EASTERN BLACK RHINOCEROS (DICEROS BICORNIS MICHAELI)

机译：东部黑犀牛（DICEROS BICORNIS MICHAELI）的骨质疏松和伤口护理情况下的数字化手术和真空辅助关闭（VAC）管理

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A 14-yr-old female eastern black rhinoceros (Diceros bicornis michaeli) presented with progressive suppurative osteomyelitis in her left hind lateral toe. beta-Hemolytic Streptococcus sp. was isolated. The animal was treated with multiple systemic antibiotics, and topical wound cleansing. Repeated debridements and nail trimmings were performed for 5 mo prior to electing amputation. The toe was surgically amputated under general anesthesia between the first and second phalanges. Analgesia was diffused into the wound topically via a catheter and elastomeric pump. The open amputation site was covered with adherent drapes and a negative-pressure wound therapy device provided vacuum-assisted closure (V.A.C.*) for 72 hr. Three months later this animal developed a deep dermal ulcer on the lateral aspect of the right hind limb, at the level of the stifle. Methicillin-resistant Staphylococcus aureus was isolated. The wound was managed by initial daily lavage, followed by I mo of V.A.C. therapy, with 72 hr between dressing changes. Clinically, this therapy expedited the formation of healthy granulation tissue and overall healing was accelerated. The animal tolerated the machine and bandage changes well via operant conditioning. The use of negative-pressure wound therapy appeared to shorten time to resolution of slow-healing wounds in black rhinoceros.
机译：一名14岁的母东部黑犀牛（Diceros bicornis michaeli）在其左后外侧脚趾表现为进行性化脓性骨髓炎。 β-溶血性链球菌被隔离了。用多种全身性抗生素和局部伤口清洁治疗该动物。在选择截肢之前，重复进行清创术和指甲修剪手术5个月。脚趾在第一和第二趾骨之间全麻下手术截肢。通过导管和弹性泵将镇痛剂局部扩散到伤口中。开放截肢部位覆盖有附着的帷幕，负压伤口治疗装置可提供真空辅助的封闭（V.A.C. *）72小时。三个月后，这只动物在窒息时，在右后肢的外侧出现了深层真皮溃疡。分离出耐甲氧西林的金黄色葡萄球菌。最初的每日灌洗处理伤口，然后I. of V.A.C.处理。换药之间要间隔72小时。临床上，该疗法可加速健康肉芽组织的形成，并促进整体愈合。动物耐受机器，绷带通过操作性调节很好地改变。负压伤口疗法的使用似乎缩短了解决黑犀牛缓慢愈合伤口的时间。

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