[의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)

 1  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-1
 2  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-2
 3  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-3
 4  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-4
 5  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-5
 6  [의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)-6
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[의학과][성형외과] 성형외과 토픽 리뷰(Nonhealing Wounds)에 대한 자료입니다.
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v Treatment begins with identification and control of the factors increased
pressure

� Paralyzed patients require periodic rotation and an air mattress

� Wheelchair cushions need to be changed in ischial sore patients

� Tight casts, improperly fitting lower extremity prostheses need modification

v Most pressure sores will heal with avoidance of pressure

v However, they heal with scar, which is less resistant to trauma than normal
skin

v Thus, a higher recurrence rate exists after spontaneous closure than flaps

Lower extremity wounds (Venous)

v Valvular incompetence venous pressure increase edema with plasma
extravasation

v Fibrinogen leakage fibrin layer around the capillaries impairs oxygen and
nutrient diffusion

v Leukocytes may be trapped and activated in obstructed capillaries oxygen