Mouës Chantal M, Heule Freerk, Legerstee Ron, Hovius Steven E R
Department of Plastic and Reconstructive Surgery, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Ostomy Wound Manage. 2009 Mar;55(3):16-8, 20, 22 passim.
The first wound an wound treatments were described five millennia ago. Since then, various principles of wound care have been passed on from generation to generation. In contrast to large numbers of general technological inventions over the last 100 years, progress beyond ancient wound care practices is a recent phenomenon. It is essential to know the historical aspects of wound treatment (both successes and failures) in order to continue this progress and provide future direction. A survey of the literature shows that concepts such as "laudable pus" persisted for hundreds of years and that lasting discoveries and meaningful progress did not occur until grand-scale manufacturing and marketing started. Landmarks such as understanding the principles of asepsis/antisepsis, fundamental cellular research findings, knowledge about antibiotics/antimicrobials, moist wound healing, and the chemical and physical processes of wound healing have provided the foundation to guide major developments in wound management, including available evidence-based guidelines. Although research regarding interaction of basic wound management principles remains limited, the combined efforts of global research and clinical groups predict a bright future for improved wound management.
五千年前就有了关于最初伤口及伤口治疗的描述。从那时起，各种伤口护理原则代代相传。与过去100年大量的一般技术发明不同，超越古代伤口护理实践的进展是最近才出现的现象。了解伤口治疗的历史层面（包括成功与失败）对于延续这一进展并提供未来方向至关重要。文献调查表明，诸如“值得称赞的脓液”等概念持续了数百年，直到大规模生产和营销开始才出现持久的发现和有意义的进展。诸如理解无菌/防腐原则、基础细胞研究发现、抗生素/抗菌药物知识、湿性伤口愈合以及伤口愈合的化学和物理过程等里程碑为指导伤口管理的重大发展奠定了基础，包括现有的循证指南。尽管关于基本伤口管理原则相互作用的研究仍然有限，但全球研究和临床团队的共同努力预示着伤口管理改善的光明未来。
