Protocol for the successful treatment of venous ulcers
Protocol for the successful treatment of venous ulcers
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DOI：
10.1016/s0002-9610(03_00284-8
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发表时间：
2004-07-01
影响因子：
3
通讯作者：
Falanga, V
中科院分区：
文献类型：
--
作者：
Brem, H;Kirsner, RS;Falanga, V
在美国，静脉溃疡每年影响多达250万患者。虽然通常不致命，但这些慢性伤口严重影响患者的生活质量，因为活动能力受损和生产力大幅下降。虽然静脉溃疡通常最初很小，但它们通常治疗不足，进展为更大的溃疡，这些溃疡与更严重的并发症相关，需要更复杂的治疗。在这份报告中，我们详细介绍了静脉溃疡的发病机制以及潜在的并发症，包括渗出液，红斑，蜂窝织炎，皮炎，疼痛和可能的恶性肿瘤。临床医生的治疗方案应始终包括广泛的治疗方式，以确保全面的护理和有效的伤口闭合。静脉溃疡的治疗方式和具体协议进行了讨论，包括局部敷料，抗生素，清创，压缩疗法，和细胞治疗。这些治疗方式，结合早期识别和定期监测，使用数码摄影和平面测量，将确保快速愈合，并尽量减少并发症和成本。(C)2004 Excerpta Medica，Inc. All rights reserved.
Venous ulcers affect up to 2.5 million patients per year in the United States. Although not usually fatal, these chronic wounds severely affect patients' quality of life because of impaired mobility and substantial loss of productivity. Although venous ulcers are typically small initially, they are often undertreated, progressing to larger ulcers that are associated with more serious complications requiring more complex treatments. In this report we detail the pathogenesis of venous ulcers together with potential complications, including exudate, erythema, cellulitis, dermatitis, pain, and possible malignancy. The clinician's regimen should always include a wide range of treatment modalities to ensure comprehensive care and effective wound closure. The treatment modalities and specific protocol for venous ulcers are discussed, and include topical dressings, antibiotics, debridement, compression therapy, and cellular therapy. These treatment modalities, in combination with early recognition and regular monitoring using digital photography and planimetry measurements, will ensure rapid healing and minimize complications and cost. (C) 2004 Excerpta Medica, Inc. All rights reserved.