Aisa Josep, Parlier Mark
Department of Small Animal Clinical Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, TN, USA.
Vet Dermatol. 2022 Oct;33(5):463-478. doi: 10.1111/vde.13104. Epub 2022 Jul 25.
Management of wounds is a commonly performed and essential aspect of small animal veterinary medicine. Appropriate wound management is a difficult art to master, due to the inherent complexity of the clinical scenario, as well as the ever-evolving nature of the field with the constant addition of new products and techniques. This article reviews key concepts that may help the practitioner better understand the natural process of wound healing, factors that delay healing and strategies to help improve the local wound environment to make it more conducive to healing during open wound management. The concept of wound bed preparation is defined before common local wound management strategies, such as wound lavage and debridement, are discussed in more detail. Key aspects of the management of biofilms and appropriate use of antimicrobial agents are also reviewed. Finally, the concept of moist wound healing and its impact in modern wound management is explained before a broad variety of types of wound dressings are reviewed, with a particular focus on active dressings.
伤口处理是小动物兽医学中一项常见且重要的工作。由于临床情况本身的复杂性，以及随着新产品和技术不断增加该领域不断发展的特性，恰当的伤口处理是一门难以掌握的技艺。本文回顾了一些关键概念，这些概念可能有助于从业者更好地理解伤口愈合的自然过程、延迟愈合的因素，以及在开放性伤口处理过程中改善局部伤口环境以使其更利于愈合的策略。在更详细地讨论常见的局部伤口处理策略（如伤口冲洗和清创）之前，先对伤口床准备的概念进行了定义。还回顾了生物膜管理的关键方面以及抗菌剂的合理使用。最后，在回顾各种类型的伤口敷料（特别关注活性敷料）之前，解释了湿性伤口愈合的概念及其在现代伤口管理中的影响。
