Ennis W J, Meneses P
Ostomy Wound Manage. 1995 Aug;41(7A Suppl):52S-62S; discussion 63S.
Wound care has become a complicated science and specialty field of its own; however, all patients are initially seen by the primary care provider, and it is here that the greatest impact on wound healing and limb salvage can be made. Clinicians frequently treat chronic leg ulcers with a variety of products at various costs to the patients and third party payors based on experience not scientific literature, making the interpretation of outcomes difficult. With the problem of leg ulcers being so common, this paper sets out to review the basics of wound healing common to all wounds and to describe the current concepts of management of the three most common leg ulcers seen in a typical outpatient wound clinic setting: venous stasis ulcers, ischemic ulcers, and diabetic foot ulcers.
伤口护理已成为一门复杂的科学及独立的专业领域；然而，所有患者最初都是由初级保健提供者诊治，而在此阶段对伤口愈合和肢体保全可产生最大影响。临床医生常常根据经验而非科学文献，使用各种成本各异的产品来治疗慢性腿部溃疡，这给患者和第三方支付方带来了不同程度的花费，也使得对治疗结果的解读变得困难。鉴于腿部溃疡问题如此普遍，本文旨在回顾所有伤口共有的伤口愈合基础知识，并描述在典型的门诊伤口诊所环境中最常见的三种腿部溃疡——静脉淤滞性溃疡、缺血性溃疡和糖尿病足溃疡的当前管理理念。
