Assessment and management of patients with venous, arterial, and diabetic/neuropathic lower extremity wounds.
Assessment and management of patients with venous, arterial, and diabetic/neuropathic lower extremity wounds.
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DOI：
10.1097/00044067-200311000-00005
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发表时间：
2003-11-01
期刊：
影响因子：
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通讯作者：
Bonham, Phyllis A
中科院分区：
文献类型：
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作者：
Bonham, Phyllis A
大多数医疗保健提供者认识到，下肢伤口的管理是一个艰巨的挑战。这些慢性伤口显著影响个体的生活质量，并对医疗保健资源的成本和利用产生影响。下肢伤口可能是由无数不同的疾病引起的，但主要原因是慢性静脉功能不全、下肢动脉疾病和糖尿病/神经病。在实施管理策略之前，有必要进行鉴别评估，以解决与每种类型腿部伤口相关的病因和发病机制因素。本文概述了静脉、动脉和糖尿病/神经性伤口的风险和诱发因素。此外，它还解决了差异评估的问题，包括典型的位置，常见的临床特征，典型的伤口外观，关键管理问题，替代治疗的考虑因素，协作护理和患者/家庭教育。
Most healthcare providers recognize that management of lower extremity wounds presents a difficult challenge. These chronic wounds significantly impact the quality of life for individuals and have implications for costs and utilization of healthcare resources. Lower extremity wounds can be due to a myriad of different diseases, but the primary causes are chronic venous insufficiency, lower extremity arterial disease, and diabetes/neuropathy. Differential assessment is necessary prior to implementation of management strategies in order to address the etiology and pathogenesis factors that are related to each type of leg wound. This article presents an overview of the risk and predisposing factors for venous, arterial, and diabetic/neuropathic wounds. Additionally, it addresses issues of differential assessment including typical locations, common clinical characteristics, typical wound appearance, key management issues, considerations for alternative treatments, collaborative care, and patient/family education.