Macdonald J M
Wound Healing and Lymphedema Center, North Broward Hospital District, 4010 North Ocean Blvd., Ft. Lauderdale, FL 33308, USA.
Ostomy Wound Manage. 2001 Apr;47(4):52-7.
As the science of wound healing has evolved in the past two decades, so has awareness of the "hidden epidemic" of lymphedema. Substantial information has been accumulated regarding the pathophysiology and therapy of lymphedema. However, until now, the relationship between wound care and lymphedema has received little attention. This review outlines this relationship and asserts that proper wound care demands attention to the related lymphedema. The differences between edema and lymphedema, as well as current evidence-based support defining the negative effect of lymphedema on wound healing, are discussed. The principles of compression therapy in wound related lymphedema also are addressed.
在过去二十年中，随着伤口愈合科学的发展，对淋巴水肿“隐性流行病”的认识也在提高。关于淋巴水肿的病理生理学和治疗已经积累了大量信息。然而，到目前为止，伤口护理与淋巴水肿之间的关系很少受到关注。这篇综述概述了这种关系，并断言正确的伤口护理需要关注相关的淋巴水肿。文中讨论了水肿和淋巴水肿之间的差异，以及目前基于证据支持的关于淋巴水肿对伤口愈合负面影响的定义。还阐述了伤口相关淋巴水肿的加压治疗原则。
