Malignant fungating wounds: assessment and management.
Malignant fungating wounds: assessment and management.
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恶性蕈状伤口：评估和管理。
DOI：
10.12968/bjcn.2002.7.8.10641
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发表时间：
2002
影响因子：
--
通讯作者：
C. Dowsett
中科院分区：
文献类型：
--
作者：
C. Dowsett
大约5%-10%的转移性癌症患者会形成真菌伤口。这些伤口的毁容或令人不快的性质可能会导致患者出现复杂的心理社会问题，这意味着许多人只有在伤口进展时才会寻求医疗帮助。尽管可以尝试一系列姑息疗法，但根治疗法通常不是一种选择。当肿瘤对这些治疗没有反应时，患者将留下一个慢性复杂的伤口，局部伤口处理是唯一的选择。正是在这个时候，社区护士通常会与病人打交道。这篇文章讨论了对社区真菌创面患者的评估，考虑到他们可能造成的巨大心理痛苦。它强调了在评估这些复杂伤口时需要考虑的因素。它们中的许多都有严重的渗出物，有异味，很容易出血。重点探讨了管理这些症状的策略，并提出了临床实践的建议。
Approximately 5-10% of patients with metastatic cancer will develop a fungating wound. The disfiguring or unpleasant nature of these wounds can lead to complex psychosocial problems in patients, which mean that many will seek medical assistance only when the wound is advanced. Curative treatment is often not an option, although a range of palliative treatments may be tried. When the tumour does not respond to these treatments the patient will be left with a chronic complex wound with local wound management as the only option. It is at this time that the community nurse usually becomes involved with the patient. This article discusses the assessment of patients with fungating wounds in the community, taking into consideration the immense psychological distress that they can cause. It highlights factors that need to be taken into consideration when assessing these complex wounds. Many of them are heavily exuding, malodorous and bleed easily. Strategies that focus on managing these symptoms are explored and recommendations for clinical practice are made.