压疮评估与治疗的进展讲述.ppt

* Let’s talk about dressings in more depth:让我们进一步讨论敷料： After addressing any soft tissue infections (not colonization) and providing proper wound cleansing and debridement, you will need to select the appropriate dressings. For a wound with exudate, choose an absorptive dressing such as calcium alginate, a copolymer starch, semipermeable polyurethane foam, or hydrocolloid dressing. 在敷料处理后，有一些软组织形成感染，可以实施适当的清洗和清疮术，然后选择适当的敷料。对于有渗出物的伤口，要选择吸收能力强的敷料，例如海藻酸钙或水胶体敷料。 If the wound surface becomes too dry, switch to a less absorptive dressing or modify the dressing change frequency. The goal is to absorb exudate without drying out the wound surface.如果伤口表面变的干燥，就要减少使用吸收性敷料或者改变敷料的更换频率。目的是只吸收过量的渗出物且要保持伤口表面不干燥。 If exudate is not a problem, hydrate the wound with saline moistened gauze, amorphous or solid gels, transparent adhesive dressings, or other impermeable dressings. Use hydrating agents sparingly to avoid macerating intact skin. After sharp debridement with bleeding, use dry dressings for 8-24 hours to minimize bleeding, then resume a moist wound environment. 如果渗出物不是问题，用湿润的纱布非结晶的凝胶剂，透明的粘性敷料或不能渗透的敷料来进行水合方法治疗伤口。保守的使用吸水因子避免浸渍完整的皮肤。清疮手术后８－２４小时要使用干的敷料使出血最少，之后要让伤口回到一个湿润的环境。 Pack wounds that have depth or dead space lightly with saline moistened gauze, alginate pastes, or beads. Other substances may be applied on top of the initial layer to try to reduce odor associated with wound colonization or to absorb exudate.包扎伤口时，在伤口深部或死腔处使用藻(朊)酸盐等物质，在伤口表面可以使用一些其它物质来减少伤口的异味或吸收过多的渗出物。 Change packing with each dressing change to limit bacterial growth, but avoid traumatizing viable tissue by removing dried gauze. When changing dressings, check for signs of infection. 更换敷料最大程度的限制细菌生长，但是要揭开纱布时要避免活的组织手损伤。换敷料时，要注意一些感染的征兆。 Be sure to use cover dressings that provide sufficient protection against contamination. And if the skin around an ulcer is macerated, try to reduce the amount and duration of local moisture.用充足的敷料覆盖伤口，防止感染。如果皮肤周围一个溃疡出现，要减少局部的潮湿程度和潮湿时间。 Be sure to address bowel and bladder inconti