Asarch Dermatology, Englewood, Colorado.
J Am Assoc Nurse Pract. 2022 Nov 1;34(11):1212-1215. doi: 10.1097/JXX.0000000000000791.
Nurse practitioners (NPs) are frequently called on to assess and diagnose patients presenting with suspicious or aggravated skin lesions. Performing shave biopsies and removing small neoplasms can be within the scope of a general NP. We offer a thorough review of shave biopsy methods, including required materials, photographic documentation, blade preparation and orientation, and hemostasis techniques. Diagnostic considerations when choosing a shave versus other biopsy techniques are reviewed as is the removal of lesions in cosmetically sensitive areas. Finally, a unique tip to diminish intraprocedure bleeding using aluminum chloride before procedure initiation is presented.
护士从业者（NPs）经常被要求评估和诊断出现可疑或恶化的皮肤病变的患者。进行削刮活检和切除小的肿瘤可能在普通护士从业者的工作范围内。我们提供了削刮活检方法的全面回顾，包括所需的材料、照片记录、刀片准备和方向以及止血技术。在选择削刮活检与其他活检技术时，我们还回顾了诊断注意事项，以及在美容敏感区域切除病变的问题。最后，我们还提出了一个独特的技巧，即在手术开始前使用氯化铝来减少术中出血。
