Thoughts and principles of diagnosis and treatment of chronic refractory wounds in China
10.3760/cma.j.issn.1009-2587.2018.12.010
- VernacularTitle: 中国慢性难愈性创面诊疗思路及原则
- Author:
Wei DONG
1
;
Yurui XIAO
;
Minjie WU
;
Duyin JIANG
;
Lanjun NIE
;
Yingkai LIU
;
Jiajun TANG
;
Ming TIAN
;
Chunlan WANG
;
Lifang HUANG
;
Jiaoyun DONG
;
Xiaozan CAO
;
Fei SONG
;
Xiaoyun JI
;
Xian MA
;
Yutian KANG
;
Shuwen JIN
;
Chun QING
;
Shuliang LU
Author Information
1. Wound Repair Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Wound healing;
Chronic refractory wounds;
Diagnosis and treatment thoughts;
Principles
- From:
Chinese Journal of Burns
2018;34(12):868-873
- CountryChina
- Language:Chinese
-
Abstract:
The correct thoughts and principles of diagnosis and treatment of chronic refractory wounds need to be formulated. Through the relevant domestic and international consensus and based on clinical experience, the Thoughts and principles of diagnosis and treatment of chronic refractory wounds in China is proposed. It is considered that in the diagnosis and treatment of chronic refractory wounds, in the case of fully understanding the patient′s medical history, the following thoughts and principles should be complied in order. (1) Pay attention to the cleanliness of the wound after being cleaned. (2) Reasonably perform debridement to avoid being " excessive" or " not thorough". (3) Reasonably perform examination, diagnosis, and differential diagnosis of pathogenic factors. (4) Treat according to etiology. (5) Find comorbidities and prevent adverse outcomes. (6) Select the correct wound treatment method reasonably and timely. When the conservative wound care treatment is considered, pay attention to embodying the concept of etiological treatment, treat the wound according to the principles of safety, phase, selectivity, and effectiveness, and make a reasonable choice of continuing conservative treatment or surgical treatment in time after completing the preparation of the wound bed. When surgical treatment is considered, pay attention to the selection of reasonable surgical method and donor site, pay attention to the healing rate of surgical wound site and the outcome of donor site, and give reasonable protection to the wound site after surgery. (7) Carry out rehabilitation treatment after wound healing and related health education.
