Beitz Janice M
School of Nursing, La Salle University, 1900 West Olney Avenue, Philadelphia, PA 19141, USA.
Nurs Clin North Am. 2005 Jun;40(2):233-49. doi: 10.1016/j.cnur.2004.09.004.
Wound debridement is a critical component of promoting optimal healing for a wound with necrotic tissue. Although much is known about the multiple barriers to healing that necrotic detritus presents, much is still unknown about the best ways, timing, and approaches to constructing a healthy wound bed. Falanga's "black box," a metaphor for the unknown components of wound healing and debridement, should remind all practitioners that future research needs to address the continuing questions and issues associated with promotion of quality chronic wound healing outcomes.
伤口清创是促进伴有坏死组织的伤口实现最佳愈合的关键组成部分。尽管对于坏死碎屑所呈现的愈合多重障碍已了解颇多,但关于构建健康伤口床的最佳方法、时机和途径仍有许多未知之处。法朗加的“黑匣子”,是对伤口愈合和清创未知组成部分的一种比喻,它应提醒所有从业者,未来的研究需要解决与促进优质慢性伤口愈合结果相关的持续问题。