Macdonald John M, Sims Nancy, Mayrovitz Harvey N
Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, FL, USA.
Surg Clin North Am. 2003 Jun;83(3):639-58. doi: 10.1016/S0039-6109(02)00201-3.
As the science of wound healing has evolved over 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. Until recently, the relationship between wound healing and the negative effects of associated peri-wound lymphedema has received little attention. Identifying wound-related lymph stasis and safe mobilization of the fluid are fundamentals that must be addressed for proper therapy. Experience gained from the successful treatment of primary and secondary lymphedema has proven very useful in the applications to wound-related lymphedema. The mobilization of lymph fluid from the peri-wound area with the use of reasoned compression is essential for proper therapy of the open wound, as are appropriate bandage selection and safeguards for bandage application.
在过去二十年里，随着伤口愈合科学的发展，对淋巴水肿“隐性流行病”的认识也在不断提高。关于淋巴水肿的病理生理学和治疗已经积累了大量信息。直到最近，伤口愈合与相关伤口周围淋巴水肿的负面影响之间的关系很少受到关注。识别与伤口相关的淋巴淤滞以及安全地促进液体流动是适当治疗必须解决的基本问题。从成功治疗原发性和继发性淋巴水肿中获得的经验在应用于与伤口相关的淋巴水肿时已证明非常有用。通过合理加压促进伤口周围区域的淋巴液流动对于开放性伤口的适当治疗至关重要，合适的绷带选择和绷带应用的保障措施也同样重要。
