Sussman Geoff
Geoff Sussman OAM, JP, PhC, FACP, FAIPM, FPS, FAWMA, Associate Professor, Medicine Nursing and Health Sciences, Monash University, Clayton, VIC.
Aust Fam Physician. 2014 Sep;43(9):588-92.
Chronic leg ulcers caused by venous disease, arterial disease or a combination of both need to be clearly identified before treatment can be commenced. Their management will depend on the diagnosis, combining direct management of the ulcer as well as management of patient factors. Other chronic wounds commonly observed in practice include pressure wounds, skin tears, atypical leg ulcers.
This paper will outline a simple way to manage people with chronic ulcers.
Conclusion The prevalence of chronic wounds is expected to rise given that people are living longer and that the incidence of diabetes is increasing. There is a need is to clearly identify the underlying cause of any wound, including factors that may delay healing, and to treat appropriately. Treatment should address the wound environment, tissue base, presence of bacteria and the level of slough. If there is no improvement in wound healing after 4 weeks then seek help from a wound specialist.
The prevalence of chronic ulcers in Australia has been estimated at 2-5%. Comprehensive assessment of the ulcer, the region and the whole person is an important first step in treatment. The aim of management is to promote healing and minimise the impact on the patient.
在开始治疗之前，需要明确由静脉疾病、动脉疾病或两者共同引起的慢性腿部溃疡。其治疗将取决于诊断结果，结合溃疡的直接治疗以及患者因素的管理。在实践中常见的其他慢性伤口包括压疮、皮肤撕裂伤、非典型腿部溃疡。
本文将概述一种管理慢性溃疡患者的简单方法。
鉴于人们寿命延长且糖尿病发病率上升，预计慢性伤口的患病率将会增加。有必要明确任何伤口的潜在原因，包括可能延迟愈合的因素，并进行适当治疗。治疗应针对伤口环境、组织基底、细菌存在情况和腐肉水平。如果4周后伤口愈合没有改善，则应寻求伤口专科医生的帮助。
据估计，澳大利亚慢性溃疡的患病率为2%-5%。对溃疡、溃疡区域和患者整体进行全面评估是治疗的重要第一步。治疗的目的是促进愈合并将对患者的影响降至最低。
