Kunimoto B T
Division of Dermatology, Department of Medicine, University of British Columbia, 835 West 10th Avenue, Vancouver, British Columbia, V5Z 4E8, Canada.
Ostomy Wound Manage. 2001 Jun;47(6):36-42, 44-9.
Managing venous leg ulcers involves management techniques that are indicated both in the treatment of all chronic leg ulcers and those that are specific to venous leg ulcers. The first step in managing venous leg ulcers is performing a holistic assessment of the patient. Once this is complete, any systemic or local factors that may affect wound healing should be addressed. This approach to managing the whole patient is critically important because if significant general wound healing factors are not treated, other specific attempts at healing the venous ulcer will be fruitless. This paper reviews nutritional supplementation, wound bed preparation, antimicrobial therapy, venous insufficiency, compression therapy, different bandage systems, therapeutic adjuncts to compression therapy, and recent advances in vascular surgery. Recurrence prevention also is discussed.
处理下肢静脉性溃疡涉及到一些管理技术，这些技术既适用于所有慢性下肢溃疡的治疗，也有专门针对下肢静脉性溃疡的技术。处理下肢静脉性溃疡的第一步是对患者进行全面评估。一旦完成评估，就应解决任何可能影响伤口愈合的全身或局部因素。这种针对整个患者的管理方法至关重要，因为如果不处理影响伤口愈合的重要一般因素，其他治疗下肢静脉溃疡的具体尝试都将徒劳无功。本文回顾了营养补充、伤口床准备、抗菌治疗、静脉功能不全、压迫治疗、不同的绷带系统、压迫治疗的辅助治疗以及血管外科的最新进展。还讨论了预防复发的问题。
