Summa Health System, Akron, Ohio, USA.
Dermatol Ther. 2013 May-Jun;26(3):215-21. doi: 10.1111/dth.12050.
Advanced wound care implies the use of products or procedures that are specialized. Although dermatologists are used to being specialists of the skin, hair, and nails, chronic wound care has evolved such that there are some specific treatment options that are more commonly ordered and performed in wound care clinics. Wound care clinics are staffed by specialists and generalists including dermatologists, but also orthopedic surgeons, vascular surgeons, infectious disease specialists, internists, family practitioners, hyperbaric oxygen-trained physicians from a variety of backgrounds, podiatrists, physician assistants, and nurse practitioners. The care of chronic wounds has almost become its own specialty, with so-called advanced therapies now including the use of growth factors, extracellular matrices, engineered skin, and negative pressure wound therapy. It is critical that the dermatologists understand the treatments such that they can appropriately apply or order them directly, or be involved with the care of their patients receiving these therapies.
高级伤口护理意味着使用专门的产品或程序。虽然皮肤科医生习惯于治疗皮肤、头发和指甲方面的问题,但慢性伤口护理已经发展到一定程度,以至于有一些特定的治疗方案在伤口护理诊所中更为常见。伤口护理诊所配备了专家和通才,包括皮肤科医生,但也有骨科医生、血管外科医生、传染病专家、内科医生、家庭医生、来自不同背景的高压氧治疗医生、足病医生、医师助理和执业护士。慢性伤口的护理几乎已经成为一个独立的专业,所谓的高级治疗现在包括使用生长因子、细胞外基质、工程皮肤和负压伤口治疗。皮肤科医生了解这些治疗方法非常关键,这样他们就可以直接适当地应用或订购这些方法,或者参与治疗接受这些治疗的患者。