伤口世界

伤口世界

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玉夫膏在足部外伤难愈合创面修复中的应用

冯亚高1* ,惠连旺1 ,杨小冬1 ,刘鸿舒2

1 巴克医院,创面治疗科,河北 唐山 2 鸿舒诊所,河北 唐山

收稿日期:2022年6月10日;录用日期:2022年7月20日;发布日期:2022年7月28日

摘 要

目的:观察应用玉夫膏在足部外伤难愈合创面修复中的临床效果。方法:足部难愈合创面15例,其中足背皮肤缺损肌腱外露6例,足跟部3例,跟腱外露3例,第一跖趾关节外露1例,趾蹼间创面1例,前足外侧创面伴第五跖趾关节外露1例。对15例足部难愈合创面均应用玉夫膏进行局部换药,每日更换1次,直至愈合。结果:15例足部难愈合创面经玉夫膏换药全部愈合,愈合时间最短11天,最长127天。经随访6个月~24个月,平均11个月,所有创面愈合良好,外观平整,不臃肿,局部无明显疼痛和增生性瘢痕,愈合皮肤柔软,有弹性,色素沉着不明显。结论:应用玉夫膏局部换药是修复足部外伤难愈合创面的一种简单、有效的方法。

关键词:足,玉服膏,创面,修复,创伤

Application of Yufu Cream in the Repair of Refractory Wounds of Foot Trauma Yagao Feng1*, Lianwang Hui1, Xiaodong Yang1, Hongshu Liu2

1 Department of Wound Treatment, Barke Hospital, Tangshan Hebei 2 Hongshu Clinic, Tangshan Hebei

Received: Jun. 10th, 2022; accepted: Jul. 20th, 2022; published: Jul. 28th, 2022

Abstract

Objective: To observe the clinical effect of Yufu cream on repair of refractory wounds in foot. Methods: 15 cases with refractory wounds in foot after trauma, including 6 cases of dorsal skin defect tendon exposure, 3 cases of heel tendon exposure, 1 case of first metaltarsal joint exposure, 1 case of interweb wound, 1 case of lateral anterior foot wound with fifth metatarsal joint exposure .all wounds were treated with Yufu cream for local dressing change 1 times every day until they healed.

Results: All 15 cases of wounds were healed. The shortest healing time was 11 days and the longest time was 127 days. After follow-up for 6 months to 24 months (mean 11 months), all the wounds healed well, the appearance was smooth, not bloated, there was no obvious pain and hypertrophic scar, the regenerated skin was soft, elastic and the pigmentation was not evident.

Conclusion: Local dressing change with Yufu cream is a simple and effective method for repairing refractory wound of foot trauma.

Keywords: Foot, Yufu Cream, Wound, Repair, Trauma

感染对伤口愈合的阶段和影响

1,王献珍2*

1 青海大学研究生院,青海 西宁 2 青海大学附属医院烧伤整形外科,青海 西宁

收稿日期:2022年6月4日;录用日期:2022年6月28日;发布日期:2022年7月5日

摘 要

感染对伤口愈合的影响是多方面的,导致伤口愈合的每个阶段都受到干扰,伤口感染对患者的后果可能包括住院时间延长、心理压力增加、疼痛、甚至会导致脓毒血症的出现,危及患者的生命安全。本文考虑了伤口愈合的四个阶段,概述了感染对伤口愈合的影响。

关键词

伤口感染,愈合阶段,细菌,影响

Stages and Effects of Infection on Wound Healing

Yue Zhang1, Xianzhen Wang2*

1 Graduate School of Qinghai University, Xining Qinghai

2 Burn and Plastic Surgery, The Affiliated Hospital of Qinghai University, Xining Qinghai Received: Jun. 4th, 2022; accepted: Jun. 28th, 2022; published: Jul. 5th, 2022

Abstract

The impact of infection on wound healing is multifaceted, leading to disruption of each stage of wound healing. The consequences of wound infection for patients may include prolonged hospital stay, increased psychological stress, pain, and even the appearance of sepsis, endanger the lives of patients. This article considers the four stages of wound healing and outlines the impact of infection on wound healing.

文章引用: 张悦, 王献珍. 感染对伤口愈合的阶段和影响[J]. 临床医学进展, 2022, 12(7): 6039-6044. DOI: 10.12677/acm.2022.127872

Keywords

Wound Infection, Healing Stage, Bacteria, Impact

Copyright © 2022 by author(s) and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/

Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali

Lamine Issaga Traore1*, Sidy Sangare1, Gaoussou Sogoba1, Mamaye Kouyate2Abdoulaye Cisse3, Bakary Skeita4, Sadio Dembele5, Lassina Goita5, Adama Sdiakité6Mariam Sanogo7, Moussa Camara8, Drissa Traore8

1 Department of General Surgery of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

2 Department of Pediatric Surgery of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

3 Department of Dermatology and Venereology of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

4 Infectious Diseases Unit of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

5 Department of Anesthesia and Intensive Care of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

6 Departmenturology of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

7 Department of Social of the Hospital Fousseyni Daou de Kayes, Kayes, Mali

8 Department of General Surgery of the Hospital CHU du Point “G”, Kayes, Mali

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How to cite this paper: Traore, L.I., Sangare, S., Sogoba, G., Kouyate, M., Cisse, A., Skeita, B., Dembele, S., Goita, L., Sdiakité, A., Sanogo, M., Camara, M. and Traore, D. (2022) Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali. Surgical Science,13, 280-287. https://doi.org/10.4236/ss.2022.136035

Received: April 13, 2022

Accepted: June 21, 2022

Published: June 24, 2022

Copyright © 2022 by author(s) and Scientific Research Publishing Inc.

This work is licensed under the Creative Commons Attribution International

License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/

Abstract

The issue of wound care has always played an important role in the practice of medicine. This is evidenced by Ambroise Paré’s decision to publish his first work on this subject, “La manière de traiter les Plaies” (The Way of Treating Wounds) in 1545.

Objective: To evaluate the therapeutic m ethods we practice and to describe the impact of the pathology on socio-economic and professional development.

Patients and Method: This was a retrospective study carried out at the Fousseyni Daou Hospital in Kayes from January 1, 2018, to December 31, 2020. We included all patients with an ulcero-necrotic wound on immunocompetent terrain hospitalized in the department. Patients with ulcerative necrotic wounds of diabetes, HIV, or cancerous origin were not included. The parameters studied were: etiologies, local care, sequelae, and socio-economic and professional aspects.

Results: We collected 57 patients of whom 43 were men and 14 were women, i.e. a sex ratio of 3. The mean age was 40.7 years with a standard deviation of 8.4 with extremes (7 years and 80 years). The average consultation time was 25.1 days. The most represented socio-professional stratum was agropastoralism in 37 cases (65%). The predominant etiological factor was neglected traumatic wounds in 34 cases (59.6%). The site was the lower limb in 39 cases (68.5%). The germ found was Staphylococcus aureus in 21 cases (36.8%). The particularity during local care was the use of table sugar in 9 cases (15.7%) and maggot therapy in 2 cases (3.5%). Hyperthermia was the clinical sign of aggravation in 22 cases (38.6%) and we diagnosed 2 cases (3.5%) of tetanus. The mortality rate was 15.7% (9 cases) and 30 cases (52.7%) of sequelae after recovery. The average length of hospitalization was 38 days. Hospital care was provided by the social welfare service in 35 cases (61.4%). Nineteen (19) patients (39.5%) were unable to resume their socio-professional activity.

Conclusion: Ulcero-necrotic wounds are complex to manage and can have a lifelong influence on the socio-professional and economic activity of patients.

Keywords

Ulcero-Necrotic Wound, Surgery, Disability, Socio-Economic

Virtual Communities for Diabetes Chronic Disease Healthcare

Ivan Chorbev, Marija Sotirovska, and Dragan Mihajlov

Faculty of Computer Science and Engineering, Ss. Cyril and Methodius University in Skopje, P.O. BOX 574, 1000 Skopje, Macedonia

Correspondence should be addressed to Ivan Chorbev, 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。

Received 31 May 2011; Revised 28 July 2011; Accepted 29 August 2011

Academic Editor: Sotiris A. Pavlopoulos

Copyright © 2011 Ivan Chorbev et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

      Diabetes is classified as the world’s fastest-growing chronic illness that affects millions of people. It is a very serious disease, but the bright side is that it is treatable and can be managed. Proper education in this view is necessary to achieve essential control and prevent the aggregation of this chronic sickness. We have developed a healthcare social network that provides methods for distance learning; opportunities for creation of virtual self-help groups where patients can get information and establish interactions among each other in order to exchange important healthcare-related information; discussion forums; patient-to-healthcare specialist communication. The mission of our virtual community is to increase the independence of people with diabetes, self-management, empower them to take care of themselves, make their everyday activities easier, enrich their medical knowledge, and improve their health condition, make them more productive, and improve their communication with other patients with similar diagnoses. The ultimate goal is to enhance the quality of their life.

A Control System Design to Establish Dose-Response Relationships in Wound Healing Therapy

Jacquelyn Dawn Parente, Knut Möller

Institute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany

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How to cite this paper: Parente, J.D. and Möller, K. (2017) A Control System Design to Establish Dose-Response Relationships in Wound Healing Therapy. J. Biomedical Science and Engineering, 10, 76-85.

https://doi.org/10.4236/jbise.2017.105B009

Received: April 13, 2017

Accepted: May 3, 2017

Published: May 10, 2017

Abstract

      Advanced biophysical wound healing therapies can apply mechanical, electrical, or light energy to re-stimulate healing processes in chronic wounds. Despite the growing evidence of the clinical efficacy of these therapies, the optimal treatment stimulation parameters remain unknown and there are no standard treatment protocols. We introduce a closed-loop control design as an experimental system to study the dose-response of wound healing therapy treatment within a prescribed multidimensional and multimodal stimulation parameter space. Systems engineering approaches are applied to the control problem for estimation of a transfer function and model equations derived for use in optimal model-based control. The experimental control system design consisted of simultaneous application of biophysical energies inputted into a wound system. A study design set up including the use of negative pressure wound therapy, electrical stimulation therapy, and photobiomodulation device systems was described. Treatment stimulation parameters were selected from experimental ranges used in the scientific literature. Classical control methods and model-based control were suggested for model selection and evaluation and design of the overall control system. An experimental design for multimodal biophysical wound healing therapy control system is introduced to establish the dose-response interactions for development of therapeutic applications and device design.

Keywords

      Chronic wounds, High voltage pulsed current, Low level light therapy, Negative pressure wound therapy, Modeling and control, Photobiomodulation, Wound healing.

Case Report of a Chronic Wound Due to Venous Insufficiency Following a Traumatic Arteriovenous Fistula

Jialiang Chen, Louis Chebli

Department of Vascular Surgery, CHU Brugmann, Brussels, Belgium

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How to cite this paper: Chen, J.L. and Chebli, L. (2021) Case Report of a Chronic Wound Due to Venous Insufficiency Following a Traumatic Arteriovenous Fistula. Open Journal of Clinical Diagnostics, 11,

47-51. https://doi.org/10.4236/ojcd.2021.112003 该Email地址已收到反垃圾邮件插件保护。要显示它您需要在浏览器中启用JavaScript。

Received: May 17, 2021

Accepted: June 26, 2021

Published: June 29, 2021

Abstract

      Chronic lower limb wounds are common. They can be of arterial or venous origin. In this article, we will present a clinical case of a 30-year-old patient with a chronic injury to the right medial malleolus. In his history, we can note a gunshot wound to the right leg. Ultrasonography and CT angiography helped in the diagnosis of traumatic arteriovenous fistula. The patient underwent a fistula embolization which allowed the wound to heal. The clinical presentation, additional examinations and the latest treatment recommendations will be discussed in this article.

Keywords

Arteriovenous Fistula, Chronic Wound, Trauma, Venous Insufficiency

Copyright © 2021 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).

http://creativecommons.org/licenses/by/4.0/