伤口换药课件的9.1-王希芹.ppt

伤口与伤口愈合; 伤口是正常皮肤在外界致伤因子如外科手术、外力、热、电流、化 学物质、低温以及机体内在因素如局部血液供应障碍等作用下所导致的 损害。常伴有皮肤完整性的破坏以及一定量正常组织的丢失，同时，皮 肤的正常功能受损。;伤口的分类（以病理生理学分类）;;;;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;伤口的分类（以清洁状况划分）;清洁伤口;污染伤口;感染伤口;伤口分类（按组织损伤程度分类）;伤口分类（按临床表现分类）;伤口中细菌的来源;感染伤口的诊断;细菌培养 ;定性培养 目的：确认何种细菌感染，以选择适合的抗生素。 通常同时进行药物敏感试验。 定量培养 目的： 确定多少细菌感染 ( 105);细菌培养的时机;定性培养——擦拭法;10 mm 无菌滤纸片； 覆盖于伤口10－30分钟，使它浸透伤口渗出液； 将滤纸片取下放在2 cc 水中转移。;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;感染伤口的处理原则;减压和固定;清创;;全身治疗;伤口愈合的类型;伤口愈合的类型;*;外科伤口愈合的几个阶段 ;*;*;*;全身因素的影响;*;;局部因素的影响;*;*;*;*;*;*;*;*;伤口的描述;*;*;*;*;*;*;*;*;*;哪种敷料最好？;提示 没有哪一种敷料具备所有理想敷料的特点 没有哪一种敷料适用于一个创面的各个阶段 应根据具体的伤口状况选择合适的敷料 ;惰性敷料(传统敷料):;传统惰性敷料的优缺点;常用新型敷料的种类 ;湿性敷料的共同优点;*;*;*;*;*;*;*;*;*;*;*;*;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;谢谢！