腿部溃疡的管理
Management of leg ulcers.
作者信息
Sarkar P K, Ballantyne S
机构信息
City Hospital NHS Trust, Dudley Road, Birmingham B18 7QH, UK.
出版信息
Postgrad Med J. 2000 Nov;76(901):674-82. doi: 10.1136/pmj.76.901.674.
Abstract
Leg ulcer is a leading cause of morbidity among older subjects, especially women in the Western world. About 400 years BC, Hippocrates wrote, "In case of an ulcer, it is not expedient to stand, especially if the ulcer be situated on the leg". Hippocrates himself had a leg ulcer. The best treatment of any leg ulcer depends upon the accurate diagnosis and the underlying aetiology. The majority of leg ulcers are due to venous disease and/or arterial disease, but the treatment of the underlying cause is far more important than the choice of dressing. The aetiology, pathogenesis, treatment, and the future trends in the management of the leg ulcers are discussed in this review.
摘要
腿部溃疡是老年人群发病的主要原因，在西方世界尤其是老年女性。公元前约400年，希波克拉底写道：“对于溃疡患者，站立并不适宜，尤其是溃疡位于腿部时”。希波克拉底本人就患有腿部溃疡。任何腿部溃疡的最佳治疗取决于准确的诊断和潜在病因。大多数腿部溃疡是由静脉疾病和/或动脉疾病引起的，但治疗潜在病因远比选择敷料重要。本文综述讨论了腿部溃疡的病因、发病机制、治疗及未来管理趋势。
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