Merz Thomas, Klein Carsten, Uebach Barbara, Kern Martina, Ostgathe Christoph, Bükki Johannes
Division of Palliative Medicine, University of Erlangen, Germany.
Breast Care (Basel). 2011;6(1):21-24. doi: 10.1159/000324923. Epub 2011 Feb 22.
The management of fungating, malignant wounds is a challenge for the palliative care team. Open, malodorous, poorly healing lesions are obvious signs of underlying disease. In addition, pain and functional impairment remind the patients of their incurable illness. A multidimensional approach is necessary to meet the needs of these patients and to improve quality of life. Although achieving wound closure is rarely a realistic goal, modern techniques of wound management can help to minimize odours and exudates. Specialist knowledge in palliative care is needed to provide adequate pain control. Psychosocial support may help patients to cope with the situation and their limited abilities.
对于姑息治疗团队而言，处理有溃疡形成的恶性伤口是一项挑战。开放性、有恶臭且愈合不良的伤口是潜在疾病的明显迹象。此外，疼痛和功能障碍会让患者意识到自己身患绝症。需要采用多维度方法来满足这些患者的需求并提高生活质量。虽然实现伤口闭合很少是一个现实的目标，但现代伤口管理技术有助于将气味和渗出液降至最低。需要姑息治疗方面的专业知识来提供充分的疼痛控制。心理社会支持可能有助于患者应对这种情况及其有限的能力。
