慢性伤口处置培训课件

woundcleaning伤口清洁Generalgoal总体目标Toremovedebriesandfroeignbodies.去除碎屑与异物Necrotictissue坏死组织Deadcells死亡细胞Fibrin纤维蛋白Toxins，MMP毒素，MMPForeignbodies(forinstanceremainsforpreviouslyuseddressings)异物（例如先前使用的敷料）Woundcleaning--Techniques

伤口清洁-----技术Woundcleaning伤口清洁

Ways方法Basiccleanningofwoundbed,woundedgesandsurroundingarea对伤口创面、边缘以及周围进行基本清洗Antibacteiracleanning抗菌剂清洗Woundrinsing伤口冲洗WoundcleaningWettodry干燥清洗伤口Debridement清创术Negtivepressure负压

Woundcleaning伤口清洁

----技术CleanigwithRinsingsolution采用冲洗溶液进行清洗Saline生理盐水Ringersolution林格氏液Indication:Cleaningwound适应症：清洁伤口Nontouchtechnique非接触技术Woundcleaning伤口清洁

----技术Cleanningwithantisepticsolution采用消毒溶液进行清洗Octenidin-di-hydrochlorid奥替尼啶盐酸化合物Polyhexanid聚已缩胍Iodine碘Indication:Infectedandcontaminatedwound适应症：感染伤口和污染伤口Nontouchtechnique:Fromoutsidetocenterofwoundinordertoavoidfurtherspreadingofbacteriatothesurroundingarea.非接触技术：从外围向中间清洗以避免细菌向周围进一步播散Woundcleaning--Antisepticsolution

伤口清洁--消毒溶液Octenidin-di-hydrochlorid奥替尼啶盐酸化合物Polyhexanid聚已缩胍Advantages优点notcolored,notinacticatedbybodyfluids无色、不会被体液灭活donotinitiateresistance,skinirritationandallergies不会引起抗药性、皮肤刺激或过敏Disadvantages缺点notavailableandreimbursedinmanycountries在许多地区不能使用而且不能报销不能采用高压将奥替尼啶注入腔内加以应用Bothshouldnotbeappliedoncartilageandincontactwithinternalorgans(abdominalcavity)二者均不能在软骨上运用，且不能与内部器官接触（腹腔）Woundcleaning--Antisepticsolution

伤口清洁--消毒溶液IodineAdvantages优点EffevtiveagainstGrampostiveandGramnegtivebacteria可有效对抗革兰阳氏和阴性菌Availableindifferentformsforapplication(ointment,lotions)可以采用不同形式加以运用（软膏、洗液）Disadvantages缺点Colored(makeswoundassessmentdifficult)有色（难以对伤口进行评估）Inactivatedbybodyfluids会被体液灭活Sensitivitymightoccur可能会发生过敏Systemicsideeffectsduetoabsortion吸收会导致全身副作用Wounddebridement清创术Incaseofachronic,difficulttohealwoundcleaningcanbesupportedwithdifferentwaysofdebridement在慢性、难愈合性伤口的清洁中可才采用不同的清创术进行支持治疗Requirements要求：Asgentleaspossible尽可能温柔Asthoroughaspossible尽可能彻底Assoonaspossible尽早Debridementopportunity清创时机病情许可，越早越好Illnesspermission,thesooner,thebetter无明显感染表现，均可清创Noapparentinfection,debridementperformance已有感染，但伤口有异物或较多坏死组织，也可清创，清创后伤口暂不缝合IftheWoundisinfected,buthaveaforeignbodyormuchnecrotictissue,wecanalsodebridement,anddonotwoundclosureafterdebridement急性伤口理想时间：伤后8小时以内，头面、手部伤口12小时以内Theidealtime:8hoursafterthewound,andthehead,handwithin12hoursafterthewoundDebridementmethods伤口清创方法机械清创（伤口清洗和伤口浴，水下低频超声波处理、聚氨酸脂类软性泡沫复合物产品等）Mechanicaldebridement外科清创（剪刀、手术刀、锋利勺、刮器）Surgicaldebridement酶清创（蛋白质、肽类）Enzymaticdebridement生物清创Biosurgicaldebridement自溶性清创（内活性伤口敷料、如水胶体、水凝胶）AutolyticdebridementWounddebridemen清创术Mechanical机械性清创Wipe(mechancialyclean)thewoundwithsterilegauze无菌纱布擦拭伤口（机械型清洗）Gauzecanbemoistordry可以采用湿性或干性纱布Cave:mightbepainfulforpatient孔洞：可能造成患者疼痛Aternative选择Soakedgauzeisappliedtowoundandshouldberemovedgently.Everytimesomeofwounddebriswillremainingauze.对伤口使用浸湿纱布，而且去除纱布时动作应当轻柔。每次都会有一些伤口碎屑留在纱布内。Wounddebridemen清创术Surgical手术清创Removalofdebriswithcurette,abrasororscapel采用刮匙、刮除器或手术刀去除碎屑Usuallyperformedbysurgeonorspeciallytrainednursesundersupervisionofsurgeon.通常由外科医生执行清创或者在外科医生的监督下由护士进行清创。Cave空洞Mightbepainfulforpatient可能会引起患者疼痛Chanceofbleeding可能会出血InseverecasesintmustbeconductedinOR严重时必须采用手术进行处理Wounddebridemen清创术Wounddebridemen清创术Biosurgicalwithmaggots采用蛆进行生物手术Serratiamarcecens沙雷杆菌Advantage优点Veryselectivecleaning/Antisepticeffect选择性清洁/防腐作用Stimulategranulation刺激肉芽生长Almostpainfree几乎无痛Disadvantage缺点Notalwayseasytoapplyandkeepinplace不容易使用而且不容易固定。Ethicalaspectsneedconsideration.需要对伦理学方面加以考虑。Wounddebridement清创术TheevolutionandapplicationofdressingsGauze

OilYam、stickingHydrocolloiddressingsAntibacterialdressings干纱布油砂、敷贴水胶体抗菌敷料、生物活性敷料Wounddressings-General

伤口敷料—总体Wounddressings-Requirements

伤口敷料—要求Wounddressings-Requirements

伤口敷料—要求Wounddressings-DifferentkindsCriteriaforselection选择标准Woundsite伤口位置Exudate渗出物Signsofinfection感染迹象Conditionofwoundsurroundingskin伤口周围皮肤状况Pain疼痛Wounddressings-Requirements

伤口敷料—要求Occlusiveornonocclusivedressings封闭型或非封闭型敷料Occlusiveenvironmentissupportiveforwoundhealing封闭环境有助于伤口愈合Attention注意Incaseofinfection,severecontaminationexposedtendon,bone,fistualsanocclusioncanbedangerous.在肌腱、骨骼暴露以及瘘管存在感染或严重感染时，封闭可能具有危险Keepwoundsurroundingskindry保持伤口周围皮肤干燥Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Description说明Hydroactivedressingpadforwettherapy采用水活化性敷料垫用于湿润疗法Madeofhighlyabsorbingpolyacrylate采用高吸水性聚丙烯酸酯制造Activeabsorbingandrinsingeffect具有有效吸收和冲洗作用AlreadyactivatedversionplusseparateRingersolutionavailable可以采用已活化型或者未活化型外加林格氏液。Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWetWounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleaning清洁Cleaning+Granulation清洗+肉芽形成Granulation肉芽形成Rehydratesescharsupportautolyticmechanisms再次水化焦痂有助于自溶机制ReduceMMP减少MMPProtectsandmaintainsclean保持并维持清洁Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Mainindication主要适应症Infectedwounds(deepandsuperficial)感染伤口（深部和表浅）Necroticwounds(deepandsuperficial)坏死伤口（深部和表浅）Woundswithstagnatinghealing愈合停止的伤口Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Contraindication禁忌症Escharduetountreatedarterialulceration由未经治疗的动脉性溃疡所导致的焦痂Exercisecaution注意Contactofdressingwithwoundbedmustbesecured敷料和创面必须牢固接触Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Handing操作Protectwoundsurroundingarea保护伤口周围区域Mustbechangedafter24hours24小时后必须更换GreenstripesofTenderWet24arefacingawayfromwoundbed在创面使用德湿威24时，应将绿色条纹面朝外。Dressingmustnotbecut不要对敷料进行裁减Wounddressings-Wettherapy(TenderWet)

伤口敷料—湿润疗法（德湿威TenderWet）Fixation固定Fixationwithnonabsorbentdressing,bandageornonwovenadhesive以非吸收性敷料、绷带或非编织型胶带进行固定。Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleaning清洁Granulation肉芽形成Especiallyfordeepsmallcavitywounds尤其用于较深而且较小的孔腔性溃疡Rarely很少Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Wounddressings—Alginates

伤口敷料—藻酸盐类敷料Fixation固定Alginatesneedtobecoveredbyasecondarydressing藻酸盐类敷料需要采用次级敷料加以覆盖Non-infectedwoundFineporedfoamdressing:hydrocolloidorfilmdressing非感染性伤口：细孔泡沫敷料、水胶敷料或薄膜敷料InfectedwoundElasticgauzebandages:tubularbandagesornonwovenfixationproducts感染性伤口：弹力绷带、筒形绷带或非编织性固定产品Wounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Description说明Madeof“Natriumcarboxymethycellulose”由羧甲基纤维素制成Highabsorptioncapacity吸收性能较高Turnsintotransparentgetwhenincontactwithwoundexudate垂直吸收创面渗出液Wounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Keyobjectives使用主要目的Absorptionofwoundexudate吸收伤口渗出液Inclusionofwoundexudateevenunderpressure(compressiontherapy)即使可以在压力作用下（加压治疗）也可以吸入伤口渗液Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleansing:Exudingsloughedwounds清洁：排除伤口腐肉Granulation:肉芽形成：很少Wounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Wounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Contraindication禁忌症Drywounds干燥伤口Drynecrosiswounds干性坏死Third-orforth-degreeburns3度或4度烧伤Exercisecaution注意NoneWounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Handling操作Dressingmaydevelopthewoundbyabout1inch敷料可以在伤口上重叠约1英寸厚Hydrofibertamponadesshouldbepokeoutofthewoundbyapproximatelyaninch水性纤维敷料填塞应高于伤口约1英寸Wounddressings—Hydrofiberdressings

伤口敷料—亲水性材料Fixation固定Hydrofiberdressingsneedtobecoveredbyassecondarydressing富含纤维敷料需要采用次级敷料加以覆盖Absorbingpads、gauzebandagesornonwovenfixationproducts吸收垫、纱布绷带或非编织性产品Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Description说明Madeofafine(Polyurethane)foamcoveredwithasemiocclusivePolyurethanefilm由覆盖一层封闭型聚氨基甲酯薄膜的精制泡沫构成Foamdressingshavehighabsorption泡沫敷料具有高度吸水性Airpermeablemembraneenablesgasexchange空气可以渗入薄膜使气体得以交换Availablewithandwithoutadhesive可以和胶带一起应用，也可以单独使用Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleaning清洁evenincaseofsloughy/necroticwounds，sometimesoninfectedwounds(withooutadhesiveborder)甚至可以用于坏死性伤口,有时可以用于感染性伤口（无粘性边缘）Granulation肉芽形成Epithellialisation上皮形成thinfoamdressingonly只采用薄层泡沫敷料Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Mainindication主要适应症Exudatingwounds渗出性伤口Ascavityindeep,underminedexudatingwounds孔腔较深的潜行性渗出伤口Incombinationwithcompressiontherapy联合加压治疗Onslushy,fibrincoatedwounds胶冻状纤维蛋白覆盖性伤口Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Contraindication禁忌症Infectedwounds(borderedversions)感染伤口（边界模糊）Drywound干燥伤口Third-orforth-degreeandhigher3度或3度以上烧伤Necroticwounds.OnlyasacoverincombinationwithforinstanceHydrogelwound坏死伤口，只能与其他敷料合用坐覆盖，如水凝胶敷料。Exercisecaution注意Possibilityofmacerationwhendressingcapacityisexhausted当敷料吸收能力达极限时具有浸渍的可能Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Wounddressings—Polyurethane/Foamdressings

伤口敷料—聚氨酯/泡沫敷料Fixation固定Oftennotneededduetoadhesivebordersofdressingpads由于敷料垫具有粘性边缘通常不需要固定Fixationwithsemipermeablefilms,siliconecoatedfilmsorelasticbandages以半透膜、硅涂层薄膜或弹力绷带固定Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Description说明Semioclusive,madeofwater-repellingpolymermatrix(thinpolyurethanefilm)半封闭型采用防水性聚合物基质形成（聚氨酯薄膜）Matrixcontainshydrocolloidsubstance基质包含亲水物质Sometimeswithadhesivenonwovenboardersorflatterboardersforeasyapplication有时存在便于使用的粘性非编织性边缘或更为平整的粘性边缘Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleansing清洁Granulation肉芽形成Epithelialisation上皮形成Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Mainindication主要适应症Lowtomediumamountofwoundexudate少量到中等量的伤口渗出液Abrasions,first-andsseconddegreeburns,decubitus,legulcers擦伤、1度或2度烧伤、褥疮、腿部溃疡WoundsinEpithelialisationphase处于上皮形成时期的伤口Asacoverforotherwounddressings(e.g.alginates)作为其他伤口敷料的覆盖物Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Contraindication禁忌症Deepmycosis深部真菌病Highlyexudingorbleedingwounds高度渗血或出血伤口Third–orforth-degreeburns3度或4度烧伤Osteomyelitis骨髓炎Deepwoundswithbarebones,muscles,tendons深部伤口伴谷歌、肌肉、肌腱裸露Exercisecaution注意Macerationofsurroundingskinpossible伤口具有浸渍可能Hypergranulation肉芽组织过度形成Diabeticfootulcers糖尿病性足部溃疡Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Wounddressings—Hydrocolloiddressings

伤口敷料—水胶体敷料Fixation固定Nosecondarydressingorfixationneeded不需要次级敷料或固定

Hydrocolloiddressingsareoftenusedasfixationforotherwounddressings水胶体敷料通常最为其他敷料的固定物Ifneededfurtherfixationwithadhesiveproductslikefilmsect,possible如果需要，可以采取注入胶带之类的产品进行固定Wounddressings—Hydrogelamorphousgels

伤口敷料—无定形水凝胶敷料Contraindication禁忌症Woundpain伤口疼痛Macerationofsurroundingskin周围皮肤浸渍Exercisecaution注意Sensitivityagainstcomponentspossible可能会有成分过敏Wounddressings—Hydrogelamorphousgels

伤口敷料—无定形水凝胶敷料Handing操作Applicationof0.3to0.5cmofgelonwound在伤口上使用0.3到0.5cm的凝胶Protectionofsurroundingskinnecessarytoavoidmaceration有必要对周围皮肤进行保护以免发生浸渍RinsingofwoundwithRingersolutionorsalinetoremoveresidues采用林格氏液或生理盐水冲洗去除残余凝胶Wounddressings—Hydrogelamorphousgels

伤口敷料—无定形水凝胶敷料Fixation固定Secondarydressingabsolutelynecessary绝对有必要使用次级敷料固定Hydropolymerorhydrocolloiddressingsincaseofnon-infected,moistwounds对于非感染伤口,可以采用水聚合型敷料或水胶体型敷料加以固定Semipermeablefilmsfordrywounds对于干性伤口，可以采用半透膜固定Sterilepadsornonwovenadhesivesforinfectedwounds对于感染性伤口，可以采用无菌敷料或非编织型胶带固定Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Description说明Semiolcusive,transparentdressings半封闭性、透明敷料Applicationdirectlyonwound直接用于伤口Keepwoundmoist保持伤口湿润Allowinspectionofwoundthroughdressing可以通过敷料检查伤口Canstayseveraldaysonwound可以在伤口保留数日Reducepain减轻疼痛Smallamountofexudatecanbeabsorbed可以吸收少量渗出液Contain15-95%waterbutarenotabsolutelyinwater含15-95%水分但不溶于水Cushioningeffect缓冲作用Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Keyobjectivesforapplication使用的主要目的Superficial,drywoundsarekeptmoist保持浅表、干燥伤口的湿润Accelerationofcellgrowth促进细胞生长Supportofautolyticdebridement有助于自溶性清创Coolingeffectonburns对于烧伤具有冷却作用Painreduction减轻疼痛Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段CleaningRehydrateseschar，supportautolyticmechanisms清洁再次水化焦痂、有助于自溶机制Granulationprotects肉芽形成保护

Epithelialisationpreventsdessication上皮形成防止干燥Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Mainindication主要适应症Useonpaper/cortisone/olderskin联合可的松涂在纸面上用于老年人的皮肤Superficial,cleanabrasion浅表的清洁擦伤Burnsuptosecond-degree直至2度的烧伤Woundsproducinglittleexudate伤口几乎没有渗出物Skindonorsites皮肤供体位置Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Contraindication禁忌症Escharduetoarterialulceration因动脉性可以所导致的焦痂Strongexudatiionorbleeding大量渗出液或出血Deepwounds,mycosis伤口较深或真菌病Sheetsshouldnotbeusedoninfectedwounds水凝胶片不用于感染性伤口

Exercisecaution注意Sensitivitytocomponentspossible可能对成分过敏Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Handing操作Dressingshouldbeapproximatelyaninchbiggerthanwound敷料应当大于伤口约1英寸Dressingscanbecuttoidealsize可以将敷料剪至适当大小Canstayupto7daysonwound(whendressingturnsuncleardressingchangerequired)可以在伤口保留7天以上（当敷料变得不透明时，则需要更换敷料）Wounddressings—Hydrogelsheets

伤口敷料—水凝胶片Fixation固定Productswithadhesivebordersdon’trequireadditionalfixation带有粘性边缘的产品不需要额外固定Otherwisefixationwithgauzebandageornonwovenadhesives否则采用纱布或非编织型胶带固定Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Description说明Wounddressingcoatedwithsilver（e.g.woundcontactllayer,foam.alginate,hydrofiber）伤口敷料涂银（例如,伤口接触层、泡沫敷料、藻酸盐敷料、水性纤维敷料）Useofbactericidalimpactofsilver利用银离子杀菌Releaseofsilverionswhenincontactwithwoundexudate与伤口渗出液接触时可以释放银离子Silveriseffectiveagainstawiderangeofbacteria银可以有效对抗多种细菌Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Keyobjectivesforapplication使用的主要目的Killingofbacteria杀灭细菌Wideeffectivenessagainstmicroorganisms(Saphylococcusaureus,Pseudomonas,MRSA,etc.)广谱对抗微生物（金黄色葡萄球菌、假单胞菌、MRSA等）Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Predominateuseinthefollowingphaseofwoundhealing主要应用于伤口愈合的以下阶段Cleaningoninfectedwounds清洁用于感染性伤口Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Mainindication主要适应症Secondaryhealingwoundslikepressureorlegulcer中等愈合伤口如压迫性溃疡或腿部溃疡Tumorwounds,abscess,etc.肿瘤伤口、脓肿等Cleaningwoundswhichareinfected,indangerofinfectionorbadlysmelling对感染伤口或有感染危险或严重异味性伤口进行伤口清洁Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Contraindication禁忌症Barefibers,bonesormuscles纤维、谷歌、或肌肉裸露Exercisecaution注意Sensitivityagainstcomponents对成分过敏Silvershouldonlybeusedaslongasindicated只要有过敏表现不能直接使用Releaseofsilverionsnotsufficientondrywounds在干性伤口上银离子不能充分释放Handing(Dependingontypeofdressing)操作（根据敷料类型）Dressingshouldbeaboutaninchbiggerthanwound敷料应当高于伤口约1英寸Padsshouldbeeasilyplacedinwound,directedcontactwithwoundbed垫料应当容易放入伤口，直接与创面接触IncaseofdryandsuperficialwoundsdressingshouldbementionedwithRingersolutionorSalineofcombinedwithhydogel在干燥且表浅的伤口情况下，应当采用林格氏液或生理盐水结合水凝胶对其进行湿润Dressingcanbecuttooptimalsize可将敷料剪裁至最佳尺寸Dailydressingchangeoninfectedwounds每日更换感染性伤口的敷料Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷料Fixation固定Dependsoninformationofproductioncompanies按照产品公司所提供的信息进行固定Wounddressings—silvercontainingwounddressings

伤口敷料—含银伤口敷注意：Note需控制银离子的释放速度，保证安全性Toensuresafety,andweshouldcontrolthereleasespeedofsilverions某些银离子使用不当会着色Someimproperuseofsilveriondressingcanshading价格相对较高Thepriceisrelativelyhigh

Wounddressings—Nonwoven(aborbent)padswithsuperabsorber

伤口敷料—具有强力吸收剂的无纺布（吸收垫料）Description说明Nonwovenpadcontaining/surroundingsuperabsorber无纺布垫料，含有强力吸收剂Canabsorbhighamountofliquids可以吸收大量液体Bacteriaandcelldebriscanbeabsorbed可以吸收细菌和坏死物Moistwoundclimateiskept保持湿润的伤口环境Smellisbound限制伤口异味Wounddressings—Nonwoven(aborbent)padswithsuperabsorber

伤口敷料—具有强力吸收剂的无纺布（吸收垫料）Keyobjectivesforapplication使用的主要目的Keepingthewoundmoist保持伤口湿润Absorptionofwoundexudate吸收伤口渗液Enclosureofbacteria,celldebris,etc.包裹细菌细胞碎片等Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleansing清洁

whenwoundproduceshighamountofexudate伤口产生大量渗出物时Wounddressings—Nonwoven(aborbent)padswithsuperabsorber

伤口敷料—具有强力吸收剂的无纺布（吸收垫料）Mainindication主要适应症Onwoundsthatproducehighamountofexudate(pressure,legulcer,etc.)伤口产生大量渗出液（压迫性溃疡、腿部溃疡等）Contraindication禁忌症Ondrywoundsriskthatpadstickstothewound(canharmnewganulatedtissue)干性伤口具有垫料粘附伤口的风险（可损害新生肉芽组织）Wounddressings—Nonwoven(aborbent)padswithsuperabsorber

伤口敷料—具有强力吸收剂的无纺布（吸收垫料）Wounddressings—Nonwoven(aborbent)padswithsuperabsorber

伤口敷料—具有强力吸收剂的无纺布（吸收垫料）Description说明Widelyvarietyavailable应用广泛Madeofseverallayers由数层构成Cancontainadditionalmaterialslikeanabsorptionpad可以包含附加材料，如吸收垫料Bindssmell限制异味Whenindirectedcontactwithwounditbindsproteinmoleculesandbacteria在直接接触伤口时可以与蛋白质分子以及细菌相结合Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Cleansing:oninfected,badlysmellingwounds清洁：用于感染伤口、具有严重异味的伤口Wounddressings—Activecoaldressings

伤口敷料—活性碳敷料Handing操作Dressingshouldbeaboutaninchbiggerthanwound敷料应当大于伤口1英寸Padsshouldbeeasilyplacedinwound垫料应当容易放入伤口内Dressingsmustnotbecut不能对敷料进行剪裁Wounddressings—Activecoaldressings

伤口敷料—活性碳敷料Description说明Semipermeable,polyurethanefilm半透明、聚氨酯甲酸酯薄膜Woundprotection,fixationmaterial伤口保护型固定材料Barriertobacteria阻挡细菌Enablesmonitoringofwound能都进行伤口监护Naabsorptioncapacity无吸收能力Atraumaticdressingchange非创伤性换药Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Epithelialisation:asprimarywounddressing上皮形成阶段：作为主要的伤口敷料Fixationofotherdressinginallphasesofwoundhealing在伤口愈合阶段固定其他敷料Wounddressings—Activecoaldressings

伤口敷料—活性碳敷料Mainindication主要适应症Ondry,primaryhealingwounds用于干性、初步愈合伤口Onwoundsinepithelislisationphase用于上皮形成阶段Onskindonorsites用于皮肤供体部位Woundprotection(e.g.whenshowering)保护伤口（例如，在淋浴洗澡时）Contraindication禁忌症Necroticwounds坏死伤口Undermined,deepwounds潜行性深部伤口Infectedwounds感染伤口Bleedingorhighlyexudatingwounds出血或高度渗出性伤口Wounddressings—Transparentfilmdressings

伤口敷料—透明薄膜敷料Wounddressings—Hyaluronanwoundtreatment

伤口敷料—透明质酸型伤口护理材料Description说明Availableindifferentforms(e.g.granulate,spray)可采用不同形式（例如，颗粒剂、喷雾剂）Hyaluronanisapolymerexistinginconnectivetissue透明质酸是一种存在于结缔组织中的聚合物Woundmaterialchargedwithhyaluronan(e.g.alginates)伤口材料与透明质酸一起更换（如，藻酸盐）Hyaluronansupportsthesynthesisofcollagenandcellfunction透明质酸有助于胶原合成以及细胞功能Hyaluronanturnsintotransparentgelwhenincontactwithwoundexudate当与伤口渗出物接触时透明质酸可转变为透明的胶体Absorbswoundexudate吸收伤口渗出液Predominateuseinfollowingphasesofwoundhealing主要应用于伤口愈合的以下阶段Inallphasesdependingoncarriermaterial依据载体材料用于伤口愈合所有阶段Wounddressings—Hyaluronanwoundtreatment

伤口敷料—透明质酸型伤口护理材料Mainindication主要适应症Acutewoundsproducinghighamountofexudate产生大量渗出液的急性伤口Deep,underminedwounds潜行的深部伤口Skindonorsites皮肤供体部位Chronic,difficulthealingwounds慢性难愈合性伤口Contraindication禁忌症Clinicinfectedwounds临床感染性伤口Drynecrosis干性坏死Combinationwithantiseptics与消毒剂联合使用Sensitivitytocomponents对成分过敏Wounddressings—Hyaluronanwoundtreatment

伤口敷料—透明质酸型伤口护理材料Handing操作Rinsingthewoundwhenchangingthedressing更换敷料时冲洗伤口（颗粒型）Makesureit’swetenough确保敷料足够湿润Canstayupto3daysonwound可以在伤口上保留长达3天Fixation固定Cover,secondaryfixationneeded必须进行覆盖和次级固定Wounddressings—Hydrocapillarydressings

伤口敷料—毛细管吸水型敷料Wounddressings—Hydrocapillarydressings

伤口敷料—毛细管吸水型敷料Mainindication主要适应症Canbeusedwithcompressiontherapy可与加压疗法一同运用Woundsproducingmediumtohighamountofexudate伤口产生中等到大量的渗出液Onwoundswithproblematicsurroundingskin伤口周围存在的问题性皮肤Slushy,fibrincoatedwounds胶冻样纤维蛋白覆盖性伤口Contraindication禁忌症Drywounds干性伤口Third–orforth-degreeburns3度或4度烧伤Osteomyelitis骨髓炎Notincombinationwithhydrogelondrynecrosis对于干性坏