最近审阅: 七月 2020
最近更新: 三月  2018

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

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
  • 压疮病史
  • 大便失禁或尿失禁
  • 糖尿病
  • 外周血管疾病
  • 环境因素

诊断性检查

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

急性处理

撰稿人

Professor of Health Policy and Management

Boston University School of Public Health

Director of the Center for Health Quality, Outcomes, and Economic Research

Boston

MA

利益声明

DRB declares that he has no competing interests.

Dr Dan R. Berlowitz would like to gratefully acknowledge Dr Madhuri Reddy and Dr Stephen Thomas, the previous contributors to this monograph. MR is the author of a number of references cited in this monograph. ST declares that he has no competing interests.

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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.

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.

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