Strok Nevenka, Huljev Dubravko
Klinicka bolnica Sveti Duh, Klinika za kirurgiju, Zagreb, Hrvatska.
Acta Med Croatica. 2013 Oct;67 Suppl 1:59-62.
Chronic wound toilet, with appropriate care of the surrounding skin, is one of the basic steps that must be performed in the treatment of patients with chronic wound. On wound cleaning and bandaging, it is of utmost importance to choose an appropriate technique of cleansing, select an appropriate solution for leaching and choose an appropriate wound dressing. In this way, the wound is protected from dirt from the environment and microorganisms, while protecting the surrounding tissue from the wound exudate, providing optimal conditions for better and faster wound healing and contributing to improved patient quality of life. The frequency of dressing change is individual and must be tailored to each patient in correlation with the psychosocial status of the patient, the type of the wound, the amount and type of wound exudate, as well as what is to be put on the wound. One of the most important elements in wound toilet is appropriate care for the surrounding skin. Basic guidelines for skin care must meet three basic criteria: adequate washing and cleansing of the skin, maintain the physiological balance of the skin and protect the skin from external damage.
慢性伤口清创，同时妥善护理周围皮肤，是慢性伤口患者治疗过程中必须采取的基本步骤之一。在伤口清洁和包扎方面，选择合适的清洁技术、挑选合适的冲洗液以及选择合适的伤口敷料至关重要。这样一来，伤口可免受外界污垢和微生物的侵害，同时保护周围组织免受伤口渗出液的影响，为伤口更好更快愈合提供最佳条件，并有助于提高患者的生活质量。换药频率因人而异，必须根据患者的心理社会状况、伤口类型、伤口渗出液的量和类型以及伤口上所使用的敷料为每位患者量身定制。伤口清创中最重要的要素之一是对周围皮肤的妥善护理。皮肤护理的基本准则必须满足三个基本标准：充分清洗和清洁皮肤、维持皮肤的生理平衡以及保护皮肤免受外部损伤。
