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新进展:静脉性下肢溃疡的治疗:静脉性下肢溃疡的治疗。

What's new: Management of venous leg ulcers: Treating venous leg ulcers.

机构信息

Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada.

Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Department of Public Health, University of Toronto, Toronto, Ontario, Canada.

出版信息

J Am Acad Dermatol. 2016 Apr;74(4):643-64; quiz 665-6. doi: 10.1016/j.jaad.2015.03.059.

Abstract

Venous leg ulcers account for approximately 70% of all leg ulcers and affect 2.2 million Americans annually. After a comprehensive patient and wound assessment, compression therapy remains the cornerstone of standard care. Adjuvant care with topical or systemic agents is used for wounds that do not heal within 4 weeks. Once healed, long-term compression therapy with stockings or surgical intervention will reduce the incidence of recurrence. This continuing medical education article aims to outline optimal management for patients with venous leg ulcers, highlighting the role of a multidisciplinary team in delivering high quality care.

摘要

静脉性腿部溃疡约占所有腿部溃疡的 70%,每年影响 220 万美国人。在进行全面的患者和伤口评估后,加压疗法仍然是标准护理的基石。对于在 4 周内未愈合的伤口,可使用局部或全身药物辅助治疗。一旦愈合,使用长筒袜或手术干预进行长期加压治疗将降低复发的发生率。本文旨在概述静脉性腿部溃疡患者的最佳管理方法,重点介绍多学科团队在提供高质量护理方面的作用。

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