Faure Christine, Meaume Sylvie
Pharmacie Euromédecine, CHU de Montpellier, Rue du Caducée, 34295 Montpellier Cedex 5, France.
Service de gériatrie, Plaies et cicatrisation, hôpital Rothschild, AP-HP, 5, rue Santerre, 75012 Paris, France.
Soins. 2016 Jan-Feb(802):31-5. doi: 10.1016/j.soin.2015.12.004.
For any wound, necrosis is an obstacle to the formation of granulation tissue and creates an environment which is particularly favourable to the proliferation of bacteria. Mechanical debridement, carried out by a doctor or nurse, or surgical debridement, is usually necessary. It is completed by autolytic debridement using technical dressings. Among the many modern dressings designed on the principle of the moist healing environment, some are more adapted to the debridement phase and are recommended by the French National Authority for Health.
对于任何伤口而言，坏死都是肉芽组织形成的障碍，并且会营造出特别有利于细菌繁殖的环境。通常需要由医生或护士进行机械清创，或进行外科清创。这通过使用专业敷料进行自溶性清创来完成。在众多基于湿性愈合环境原理设计的现代敷料中，有些更适合清创阶段，并且得到了法国国家卫生管理局的推荐。
