下肢创伤的综合护理。

Comprehensive Care of Lower-Extremity Wounds.

机构信息

Department of Surgery, Division of Vascular Surgery, University of Massachusetts Chan Medical School, 55 North Lake Avenue, Worcester, MA 01655, USA.

Department of Surgery, Division of Vascular Surgery, University of Massachusetts Chan Medical School, 55 North Lake Avenue, Worcester, MA 01655, USA; University of Massachusetts Diabetes Center of Excellence.

出版信息

Surg Clin North Am. 2023 Aug;103(4):745-765. doi: 10.1016/j.suc.2023.04.015. Epub 2023 May 19.

DOI:10.1016/j.suc.2023.04.015

PMID:37455035

Abstract

There are 5 common types of chronic nonhealing lower-extremity wounds: arterial, venous, diabetic foot ulcer, pressure, and mixed or atypical. Each chronic wound type has distinct features, and understanding the underlying cause will dictate the wound treatment plan. Here, the authors review the distinguishing wound properties for these 5 common chronic nonhealing lower-extremity wounds and outline a comprehensive treatment plan that addresses wound perfusion, debridement, infection control, moisture balance, and use of complementary advanced wound care products.

摘要

有 5 种常见的慢性难愈下肢伤口类型：动脉、静脉、糖尿病足溃疡、压力和混合或非典型伤口。每种慢性伤口类型都有其独特的特征，了解其根本原因将决定伤口的治疗方案。在这里，作者回顾了这 5 种常见慢性难愈下肢伤口的区别性伤口特征，并概述了一个全面的治疗方案，该方案涉及伤口灌注、清创、感染控制、水分平衡以及使用补充性先进伤口护理产品。