褥疮

最后审阅: 1 十一月 2022
最后更新: 03 八月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 使用无减压作用的支撑面
  • 局部区域受压后发生皮肤改变
  • 受压区域的开放性表浅伤口或组织缺损
  • 受压区域的全层伤口,伴或不伴潜行(窦道)
  • 受压区域的全层伤口,累及主要组织,伴或不伴潜行(窦道)(常见)
  • 伤口周围局限性压痛和发热
  • 渗出增加和/或异味
更多 关键诊断因素

危险因素

  • 丧失活动能力
  • 感觉受损
  • 老年
  • 手术
  • 重症监护
  • 营养不良
  • 既往压力性溃疡病史
  • 环境因素
  • 大便失禁或尿失禁
  • 糖尿病
  • 外周血管疾病
更多 危险因素

诊断性检查

首要检查

  • 临床诊断
更多 首要检查

需考虑的检查

  • 伤口拭子
  • 红细胞沉降率 (ESR)
  • 白细胞 (WBC)
  • 血清葡萄糖
  • 深部组织活检
  • 核磁共振成像 (MRI)
更多 需考虑的检查

治疗流程

急症处理

所有患者

撰稿人

作者

Dan R. Berlowitz, MD

Professor; Department of Public Health

University of Massachusetts-Lowell

Lowell

MA

利益声明

DRB declares that he has no competing interests. DRB is the author of a number of references cited in this topic.

鸣谢

Dr Dan R. Berlowitz would like to gratefully acknowledge Dr Madhuri Reddy and Dr Stephen Thomas, the previous contributors to this topic.

利益声明

MR is the author of a number of references cited in this topic. ST declares that he has no competing interests.

同行评议者

Jane Deng, MD

Assistant Professor of Medicine

David Geffen School of Medicine at UCLA

Los Angeles

CA

利益声明

JD declares that she has no competing interests.

Keith Harding, FRCGP, FRCP, FRCS

Sub Dean of Innovation & Engagement

Head of Section of Wound Healing

School of Medicine

Cardiff University

Cardiff

UK

利益声明

KH has worked in the area of wound healing for many years and has helped establish and sustain a section of wound healing in a university medical school. The school is entirely self-funded and receives funding from a wide range of commercial concerns in addition to the NHS and grant-giving bodies. The funding is provided to the University rather than to KH personally, and this funding is used to provide sustainability for a wide range of individuals employed within this section.

  • 鉴别诊断

    • 潮湿相关性皮炎
    • 静脉性溃疡
    • 动脉性溃疡
    更多 鉴别诊断
  • 指南

    • 压力性溃疡的预防和管理
    • 压力性溃疡/损伤的预防和治疗:临床实践指南
    更多 指南
  • 患者教育信息

    Pressure sores

    更多 患者教育信息
  • 医学计算器

    压疮风险分级 Norton 量表

    更多 医学计算器
  • padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

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