在Pyoderma Gangrenosum中伤口碎片化
Arash Taheri1, Parisa Mansoori, Mohammad Sharif
1Arash Taheri, MD, is Internal Medicine Physician, JenCare Senior Medical Center, Atlanta, Georgia, United States. Parisa Mansoori, MD, is Dermatopathologist, Atlanta Dermatopathology, Atlanta, Georgia. Mohammad Sharif, DPM, is Podiatrist, Village Podiatry Centers, Atlanta, Georgia.
Advances in skin & wound care
|January 19, 2024
概括
保护性伤口脱bridement的非活性的组织是不适用于pyoderma gangrenosum (PG),即使在活跃的疾病. 证据不支持或反驳它的使用,这表明它不应该自动避免.
科学领域:
- 皮肤病学 皮肤病学
- 伤口护理 伤口护理
- 手术病理学手术病理学
背景情况:
- 伤口清理对于治疗急性和慢性至关重要.
- 人们担心除菌可能会通过皮肤病恶化加剧皮肤病 (PG) 的情况.
- 在PG中脱bridement的安全性和有效性需要仔细评估.
研究的目的:
- 评估现有的关于使用保守性伤口脱皮治疗皮肤炎 (PG) 的文献.
- 确定证据是否支持或反驳活跃或缓解性PG.的保守脱bridement.
- 为了澄清脱bridement在PG伤口管理中的作用.
主要方法:
- 通过使用关键词"pyoderma gangrenosum"和"debridement",对MEDLINE进行了全面的文献审查.
- 包括报道了针对PG的急性手术或虫脱bridement的研究.
- 相关文章的参考部分也被搜索到额外的数据.
主要成果:
- 在活性PG中对可活组织的侵略性除菌与伤口恶化有关.
- 没有证据表明,保守地去除不可活性的死组织会加剧PG,无论疾病活动如何.
- 对于缓解期的PG,已经报告了成功的脱bridement和移植.
结论:
- 目前还没有明确的证据支持或反对对PG中不可活性的死结组织进行保守的除菌.
- 对于PG伤口而言,即使在活跃阶段,保守的脱bridement也不应被认为是禁忌.
- 可能需要进一步的研究,以制定明确的指导方针,在PG管理中进行脱bridement.
相关概念视频
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Phases of Wound Repair
6.0K
Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
6.0K
Inflammatory Response II: Inflammatory Exudate and Tissue Repair
4.9K
The immune system's inflammatory response destroys the invading pathogen, permitting the tissue to heal. The changes during the cellular and vascular stages allow exudate formation at the site of inflammation. The inflammatory exudate released from the wound has high protein content and a specific gravity above 1.020.
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
4.9K
Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K
Peptic Ulcer Disease V: Surgical Management and Nursing Care
306
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
306


