Van der Stricht J, Van Bellingen N, Bertrand A
Phlebologie. 1985 Jul-Sep;38(3):395-400.
The fundamental element in the treatment of a varicose ulcer is the elimination of venous stasis. However, a local treatment is called for in the acute stage of the ulcer. This leads to the healing over of the ulcer or, at least, to its transformation into a granular and clean wound which can then be given radical treatment--either the surgery or the sclerotherapy of the varices. In most cases the treatment is ambulatory and consists of the application of a dry gauze compress covered with a foam rubber pad and an adhesive elastocompressive bandage. In certain cases the ulcerous crust is removed with chloramine. Less often, in the case of an old ulcer, with allergised and inflamed periulcerous tissues, the patient is hospitalized for a period of about 2 to 8 days before undergoing the ambulatory elastocompressive treatment. The simple treatments ensure the rapid healing of the ulcer, as long as it is really of venous origin.
治疗静脉曲张性溃疡的根本要素是消除静脉淤滞。然而，在溃疡急性期需要进行局部治疗。这会促使溃疡愈合，或者至少使其转变为颗粒状且清洁的伤口，然后可以进行根治性治疗——即对静脉曲张进行手术或硬化疗法。在大多数情况下，治疗是在门诊进行的，包括应用覆盖有泡沫橡胶垫的干纱布敷料和弹性压迫绷带。在某些情况下，用氯胺去除溃疡痂皮。对于陈旧性溃疡且溃疡周围组织过敏和发炎的情况，患者在接受门诊弹性压迫治疗前住院约2至8天的情况较少见。只要溃疡确实是静脉源性的，这些简单的治疗就能确保溃疡迅速愈合。
