MBBS, FACEM, Senior Lecturer, University of Tasmania, Tas; Consultant Emergency Physician, Royal Hobart Hospital, Tas.
MBBS, BMedSc, FRACS, PhD, Professor of Surgery, University of Tasmania, Tas; Consultant General Surgery, Royal Hobart Hospital, Tas.
Aust J Gen Pract. 2019 Sep;48(9):585-588. doi: 10.31128/AJGP-06-19-4962.
Given appropriate case selection and capability, many acute lacerations can be managed in the primary care setting. An understanding of the basic pathophysiology, assessment and management principles is essential.
The aim of this article is to provide a basic framework for assessing and managing simple acute lacerations.
The aim of assessment is initially to decide whether the laceration is suitable for office-based treatment, and then whether it requires formal surgical closure with sutures or staples. Two non-surgical techniques for skin closure in amenable wounds are described. A companion article in this issue provides details of surgical closure techniques and wound aftercare.
在适当的病例选择和能力条件下，许多急性撕裂伤可以在初级保健环境中得到处理。了解基本的病理生理学、评估和管理原则是至关重要的。
本文旨在为评估和管理简单急性撕裂伤提供一个基本框架。
评估的目的最初是决定撕裂伤是否适合在办公室进行治疗，然后决定是否需要用缝线或订书钉进行正式的外科缝合。本文描述了两种适用于可处理伤口的非手术皮肤闭合技术。本期的另一篇文章详细介绍了手术缝合技术和伤口护理。
