Richardson Marion
University of Hertfordshire.
Nurs Times. 2004;100(4):54-7, 59.
Every wound and patient is different so there is no single method for the management of acute wounds. However, there are some guiding principles that can assist in the decision-making process. Most wounds are suitable for primary closure, for example with sutures, while for other wounds closure is either delayed or not attempted (healing by secondary intention). Atiyeh et al (2002) provide a list of the principles of wound care that must always be observed in order to avoid sepsis and to achieve optimal wound healing (Box 1).
每个伤口和患者都是不同的,因此对于急性伤口的处理不存在单一的方法。然而,有一些指导原则可协助决策过程。大多数伤口适合一期缝合,例如使用缝线,而对于其他伤口,缝合要么延迟进行,要么不尝试(通过二期愈合)。阿提亚等人(2002年)提供了一份伤口护理原则清单,为避免感染和实现伤口最佳愈合,必须始终遵循这些原则(方框1)。