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<span id="e286xo47mbob" class="sp1 c6 fl"><em id="zuozhe" class="noshow">謝君</em><em class="user_id noshow">787</em>由 <em class="nickname"></em> 分享</span> <span id="e286xo47mbob" class="fl arc_btn"></span> </div> </div> </div> <div id="e286xo47mbob" class="y_ju"><script type="text/javascript">a("title");</script></div> <div id="e286xo47mbob" class="con_article con_main" id="contentText"> <p> 　　皮膚潰瘍一般是由外傷微生物感染腫瘤循環(huán)障礙和神經(jīng)功能障礙，那么你對(duì)皮膚潰瘍了解多少呢?以下是由學(xué)習(xí)啦小編整理關(guān)于什么是皮膚潰瘍的內(nèi)容，希望大家喜歡!</p><h2> 　　皮膚潰瘍的介紹</h2><p> 　　皮膚潰瘍是中醫(yī)外科常見(jiàn)病、多發(fā)病，是以皮膚潰瘍?yōu)橹饕R床表現(xiàn)長(zhǎng)期不能愈合為臨床特征，皮膚組織缺損液化感染壞死的一種體表疾病，此處泛指中醫(yī)外科瘡瘍類(lèi)潰后長(zhǎng)期未愈者。由于瘡面難以愈合且消耗甚大，給患者造成了很大的心理壓力和經(jīng)濟(jì)損失，嚴(yán)重影響患者的身體健康及生活質(zhì)量。</p><h2> 　　皮膚潰瘍的臨床表現(xiàn)</h2><p> 　　一、靜脈曲張性潰瘍呈園形或不規(guī)則形，邊緣堅(jiān)硬呈斜坡?tīng)?腔淺，基底高低不平，有膿性分物。</p><p> 　　二、結(jié)構(gòu)性潰瘍呈不規(guī)則的鋸齒狀，邊緣潛行，底部肉芽蒼白，有淡黃色稀薄膿性分泌物，少味。</p><p> 　　三、壓白性潰瘍褥瘡最常見(jiàn)，好發(fā)于尾骶、髂骨及踝部。潰瘍圓形，邊緣硬韌降起，呈漏斗狀損，創(chuàng)面肉芽組織松弛，分泌物稀薄，有惡臭。</p><p> 　　四、惡性潰瘍不規(guī)則形，邊緣隆起，外翻呈菜花狀，基底不平，易出血，分泌物腥臭。</p><p> 　　根據(jù)臨床實(shí)踐觀察，慢性皮膚潰瘍有如下特點(diǎn)：</p><p> 　?、贊兌辔挥诮Y(jié)締組織致密、血運(yùn)相對(duì)較差的部位，如脛前、踝跟及足部。本組有86例位于此部位，占總數(shù)的71。07%。</p><p> 　?、谠蚨酁榫植寇浗M織損傷嚴(yán)重、局部瘢痕化嚴(yán)重或早期處理不當(dāng)導(dǎo)致，甚至伴有貼骨瘢痕，血循環(huán)差，如污染較重清創(chuàng)又不徹底等。</p><p> 　?、鄄∪硕酁槔夏耆?，而且潰瘍本身常不影響其生活，因此病人及家屬未引起足夠重視，缺乏正規(guī)、系統(tǒng)治療。本組病人平均年齡71歲，多數(shù)因?yàn)楹喜⒂袧裾?、?dǎo)致皮膚劇烈瘙癢才來(lái)就診。</p><p> 　?、芎喜⒐?、關(guān)節(jié)、鋼板、肌腱等外露，用換藥等非手術(shù)治療無(wú)法解決。</p><p> 　　⑤鄰近關(guān)節(jié)的皮膚潰瘍，長(zhǎng)期的慢性炎癥，可致關(guān)節(jié)僵硬強(qiáng)直，甚至炎癥波及關(guān)節(jié)，形成化膿性關(guān)節(jié)炎，增加治療難度。</p><p> 　?、薏〕梯^長(zhǎng)、全身情況差或有其他并發(fā)癥。本組合并有下肢靜脈曲張62例、糖尿病35例，心臟病高血壓病65例，貧血或低蛋白血癥者81例。由于這些疾病的存在，嚴(yán)重影響潰瘍的愈合或治療效果。</p><h2> 　　皮膚潰瘍的危害</h2><p> 　　1、慢性皮膚潰瘍是由于創(chuàng)傷、擠壓傷、皮外傷等直接傷害了人體，而再感受毒邪，造成氣血運(yùn)行失常，導(dǎo)致皮膚潰瘍，又不能做好皮膚的保護(hù)或遠(yuǎn)離刺激環(huán)境，久治不愈，嚴(yán)重危害患者健康和生活質(zhì)量。</p><p> 　　2、是以皮膚潰瘍?yōu)橹饕R床表現(xiàn)長(zhǎng)期不能愈合為臨床特征，皮膚組織缺損液化感染壞死的一種體表疾病，潰后長(zhǎng)期不愈。由于瘡面難以愈合且消耗甚大，給患者造成了很大的心理壓力和經(jīng)濟(jì)損失，嚴(yán)重影響患者的身體健康及生活質(zhì)量。</p><p> 　　3、治療不當(dāng)易形成老爛腿、糖尿病足、脈管炎潰爛壞疽、化膿性骨髓炎，皮膚軟組織化膿感染，分泌物稀薄，有惡臭，病人年久不愈，受盡折磨。</p><h2> 　　皮膚潰瘍的治療</h2><p> 　　1、對(duì)因處理：如過(guò)敏性性(藥疹)的要切斷過(guò)敏源;糖尿病病足，要注意血糖的控制;物理化學(xué)的損傷，要注意遠(yuǎn)離致病源;職業(yè)病，盡量的消除致病的條件等。</p><p> 　　2、支持治療：包括良好的局部制動(dòng)、抬高患部、良好的護(hù)理等，注意水電解質(zhì)的平衡，給予高蛋白高能量和維生素的飲食。提高病人的免疫力。</p><p> 　　3、藥物的治療：抗過(guò)敏藥物，抗寄生蟲(chóng)藥物，抗生素( 抗感染，保護(hù)創(chuàng)面)，以及促進(jìn)潰瘍愈合的藥物等</p><p> 　　4、手術(shù)處理：對(duì)于腫瘤引起的或是有皮膚的惡變、癌變等應(yīng)及時(shí)處理。</p><p> 　　局部治療</p><p> 　?、贊兦鍎?chuàng)換藥;清除壞死組織、瘢痕、陳舊肉芽組織、異物等，直至相對(duì)健康、血運(yùn)豐富的組織。對(duì)于伴有骨、關(guān)節(jié)等外露的慢性潰瘍而需要行皮瓣修復(fù)者，創(chuàng)面處理的好壞是皮瓣移植成功的關(guān)鍵之一。分別用雙氧水、新潔而滅、生理鹽水、碘伏浸泡及沖洗5min。皮維碘紗布覆蓋，局部水腫嚴(yán)重者，用3%高滲鹽水濕敷，或根椐細(xì)菌、真菌培養(yǎng)及檢查結(jié)果，加用抗生素和抗真菌藥。</p><p> 　?、谄つw濕疹的處理：充分遵循皮膚科外用藥物的使用原則：急性發(fā)作期，滲出較多，應(yīng)用3%硼酸溶液濕敷，滲出較少后用糖皮質(zhì)激素霜?jiǎng)?慢性期用鹵米松乳膏或百多邦軟膏。</p><p> 　　③局部理療：氦氖激光、超短波、紅外線等局部照射。</p><p> 　　④手術(shù)治療：對(duì)于潰瘍面積較大、長(zhǎng)期換藥未愈或伴有骨、關(guān)節(jié)、肌腱或鋼板等外露者，應(yīng)考慮手術(shù)治療。本組手術(shù)治療72例(單純植皮47例，皮瓣修復(fù)25例)，非手術(shù)治療49例。</p><p> 　　全身治療</p><p> 　　全身治療目的在于抗炎、止癢，提高機(jī)體抵抗力。</p><p> 　　①抗菌或抗真菌藥的應(yīng)用，根椐細(xì)菌、真菌培養(yǎng)及檢查結(jié)果，靜脈應(yīng)用抗生素和抗真菌藥;</p><p> 　?、趹?yīng)用抗組織胺藥、鈣劑、維生素C等;</p><p> 　　③提高機(jī)體抵抗力的藥物：如烏體林斯等;</p><p> 　?、芗m正貧血或低蛋白血癥。</p><p> 　　其他伴隨疾病的治療：對(duì)于合并有下肢靜脈曲張、糖尿病、心臟病高血壓病等，請(qǐng)相關(guān)專(zhuān)科醫(yī)生會(huì)診，進(jìn)行正規(guī)、系統(tǒng)治療。</p><h2> 　　皮膚潰瘍的預(yù)防</h2><p> 　　1、積極控制原發(fā)病，如糖尿病病人的血糖控制。</p><p> 　　2、對(duì)于有損傷的環(huán)境，應(yīng)做好皮膚的保護(hù)或遠(yuǎn)離刺激環(huán)境，如寒冷注意皮膚的保暖，預(yù)防凍瘡的發(fā)生。</p><p> 　　3、皮膚的定期護(hù)理對(duì)于長(zhǎng)期臥床的病人，注意翻身拍背，局部皮膚的護(hù)理，防止褥瘡的發(fā)生。</p><p> 　　4、早發(fā)現(xiàn)，早治療。預(yù)防皮膚癌病。<br/> 看過(guò)“皮膚潰瘍的防治”的人還看了：</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif;"> 1.<a _href="http://www.yishupeixun.net/fanwen/xindetihui/gongzuo/1510051.html" 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