预防截肢的伤口护理基础

IF 3.3 3区医学 Q1 PERIPHERAL VASCULAR DISEASE

Seminars in Vascular Surgery Pub Date : 2025-03-01 DOI:10.1053/j.semvascsurg.2025.01.001

Beatriz Moschiar Almeida , Robyn Evans , Ahmed Kayssi

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引用次数: 0

摘要

最初的皮肤破裂和随后的愈合过程是复杂的，并受到各种参数的影响，包括全身因素、感染性生物负荷和灌注。血管创伤包括血流不足（由于外周动脉疾病）、微血管损伤（糖尿病所致）或血管收缩。急性伤口的正常愈合发生在一系列确定的阶段；然而，如果一个失调的炎症状态随之而来，它被归类为慢性。慢性和血管性伤口都增加了截肢的风险。因此，全面的伤口护理是防止肢体丧失的关键。这篇综述概述了一种系统的伤口评估方法，并检查了管理血管伤口的最新建议，重点是预防截肢的策略。

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Fundamentals of wound care for amputation prevention

The initial skin breakdown and subsequent healing processes are complex and influenced by various parameters, including systemic factors, infectious bioburden, and perfusion. Vascular wounds comprise inadequate inflow (due to peripheral artery disease), microvascular damage (result of diabetes mellitus), or vasoconstriction. Normal healing of acute wounds occurs in a sequence of defined stages; however, if a dysregulated inflammatory state ensues, it is classified as chronic. Both chronic and vascular wounds carry an increased risk of amputation. Therefore, holistic wound care is crucial in preventing limb loss. This review outlines a systematic approach to wound assessment and examines the latest recommendations for managing vascular wounds, focusing on strategies for preventing amputations.

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来源期刊

Seminars in Vascular Surgery 医学-外科

CiteScore

3.50

自引率

4.00%

发文量

审稿时长

50 days

期刊介绍： Each issue of Seminars in Vascular Surgery examines the latest thinking on a particular clinical problem and features new diagnostic and operative techniques. The journal allows practitioners to expand their capabilities and to keep pace with the most rapidly evolving areas of surgery.