Hollander J E, Singer A J
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, USA.
Ann Emerg Med. 1999 Sep;34(3):356-67. doi: 10.1016/s0196-0644(99)70131-9.
In 1996, almost 11 million lacerations were treated in emergency departments throughout the United States. Although most lacerations heal without sequelae regardless of management, mismanagement may result in wound infections, prolonged convalescence, unsightly and dysfunctional scars, and, rarely, mortality. The goals of wound management are simple: avoid infection and achieve a functional and aesthetically pleasing scar. Recent US Food and Drug Administration approval of tissue adhesives has significantly expanded clinicians' wound closure options and improved patient care. We review the general principles of wound care and expand on the use of tissue adhesives for laceration repair.
1996年，美国各地的急诊科共处理了近1100万例撕裂伤。尽管大多数撕裂伤无论如何处理都能顺利愈合且无后遗症，但处理不当可能会导致伤口感染、康复期延长、疤痕难看且功能不良，甚至极少情况下会导致死亡。伤口处理的目标很简单：避免感染并形成功能良好且美观的疤痕。美国食品药品监督管理局最近批准了组织粘合剂，这极大地扩展了临床医生的伤口闭合选择并改善了患者护理。我们回顾伤口护理的一般原则，并详细阐述组织粘合剂在撕裂伤修复中的应用。
