【正文】 Allow gaseous exchange 允許(yǔnxǔ)空氣交換 Comfortable 舒適 Economical /require infrequent changes經(jīng)濟(jì)/不需要經(jīng)常更換,第十八頁(yè)，共九十五頁(yè)。,Wound dressingsRequirements 傷口(shāngkǒu)敷料—要求,Key functions 主要作用 Keep wound bed moist保持(bǎoch237。)創(chuàng)面濕潤(rùn) Keep wound surrounding skin dry保持傷口周圍皮膚干燥 Avoid cooling down of wound temperature避免傷口溫度降低 Protect from infection預(yù)防感染 Should not leave residuals in wound傷口內(nèi)不應(yīng)留下殘余物,第十九頁(yè)，共九十五頁(yè)。,Wound dressingsRequirements 傷口(shāngkǒu)敷料—要求,Key functions 主要作用 Keep wound bed moist保持創(chuàng)面濕潤(rùn) Keep wound surrounding skin dry保持傷口(shāngkǒu)周圍皮膚干燥 Avoid cooling down of wound temperature避免傷口溫度降低 Protect from infection預(yù)防感染 Should not leave residuals in wound傷口內(nèi)不應(yīng)留下殘余物,第二十頁(yè)，共九十五頁(yè)。,Wound dressingsDifferent kinds,Criteria for selection 選擇(xuǎnz233。)標(biāo)準(zhǔn) Wound site 傷口位置 Exudate 滲出物 Signs of infection感染跡象 Condition of wound surrounding skin傷口周圍皮膚狀況 Pain 疼痛,第二十一頁(yè)，共九十五頁(yè)。,Wound dressingsRequirements 傷口(shāngkǒu)敷料—要求,Occlusive or non occlusive dressings 封閉型或非封閉型敷料 Occlusive environment is supportive for wound healing 封閉環(huán)境有助于傷口愈合 Attention 注意 In case of infection ,severe contamination exposed tendon,bone,fistuals an occlusion can be dangerous.在肌腱(jīji224。n)、骨骼暴露以及瘺管存在感染或嚴(yán)重感染時(shí)，封閉可能具有危險(xiǎn) Keep wound surrounding skin dry保持傷口周圍皮膚干燥,第二十二頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口(shāngkǒu)敷料—濕潤(rùn)療法（德濕威Tender Wet ）,Description 說(shuō)明(shuōm237。ng) Hydroactive dressing pad for wet therapy 采用水活化性敷料墊用于濕潤(rùn)療法 Made of highly absorbing polyacrylate 采用高吸水性聚丙烯酸酯制造 Active absorbing and rinsing effect 具有有效吸收和沖洗作用 Already activated version plus separate Ringer solution available 可以采用已活化型或者未活化型外加林格氏液。,第二十三頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口敷料(fūli224。o)—濕潤(rùn)療法（德濕威Tender Wet,Key objectives for application使用的主要目的 Hydration of wound bed for 24 hours 使創(chuàng)面保濕24小時(shí) Initiation and support of autolytic debridement 引發(fā)或有助于自溶性清創(chuàng) Release of Ringer solution into wound bed 將林格氏液釋放至創(chuàng)面 Absorption of wound exudate 吸收(xīshōu)傷口滲出液,第二十四頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口敷料(fūli224。o)—濕潤(rùn)療法（德濕威Tender Wet）,Predominate use in following phases of wound healing 主要應(yīng)用(y236。ngy242。ng)于傷口愈合的以下階段,Cleaning 清潔(qīngji233。) Cleaning +Granulation 清洗+肉芽形成 Granulation 肉芽形成,Rehydrates eschar support autolytic mechanisms再次水化焦痂有助于 自溶機(jī)制 Reduce MMP 減少M(fèi)MP Protects and maintains clean 保持并維持清潔,第二十五頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口敷料(fūli224。o)—濕潤(rùn)療法（德濕威Tender Wet）,Main indication 主要適應(yīng)癥 Infected wounds (deep and superficial ) 感染傷口（深部和表淺） Necrotic wounds (deep and superficial ) 壞死傷口（深部和表淺） Wounds with stagnating healing 愈合(y249。h233。)停止的傷口,第二十六頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口(shāngkǒu)敷料—濕潤(rùn)療法（德濕威Tender Wet）,Contra indication 禁忌癥 Eschar due to untreated arterial ulceration 由未經(jīng)治療的動(dòng)脈性潰瘍所導(dǎo)致的焦痂 Exercise caution 注意(zh249。 y236。) Contact of dressing with wound bed must be secured 敷料和創(chuàng)面必須牢固接觸,第二十七頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口敷料(fūli224。o)—濕潤(rùn)療法（德濕威Tender Wet）,Handing 操作 Protect wound surrounding area 保護(hù)傷口周圍(zhōuw233。i)區(qū)域 Must be changed after 24hours24小時(shí)后必須更換 Green stripes of Tender Wet 24 are facing away from wound bed 在創(chuàng)面使用德濕威24時(shí)，應(yīng)將綠色條紋面朝外。 Dressing must not be cut 不要對(duì)敷料進(jìn)行裁減,第二十八頁(yè)，共九十五頁(yè)。,Wound dressingsWet therapy(Tender Wet) 傷口敷料—濕潤(rùn)(shīr249。n)療法（德濕威Tender Wet）,Fixation 固定 Fixation with nonabsorbent dressing, bandage or non woven adhesive 以非吸收性敷料、繃帶或非編織型膠帶(jiāod224。i)進(jìn)行固定。,第二十九頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Alginate from originate from between algae 海藻纖維源于褐藻 Alginate turn into get when in contact with wound exudate 藻酸鹽類敷料與傷口接觸(jiēch249。)時(shí)可變成凝膠 Alginates can absorb a significant amount more than their weight of wound fluids 藻酸鹽類敷料可以吸收顯著高于其自身重量的傷口滲出液,第三十頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Key objectives for application 使用的主要目的 Wound filling 填充傷口 Support of autolytic debridement due to get information 凝膠形成有助于自溶性清創(chuàng) Absorption of wound exudate吸收傷口滲出液 Embed bacteria and toxin in structure將細(xì)菌和毒物包裹在凝膠中 Haemostatic effect具有止血(zhǐ xu232。)作用,第三十一頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Predominate use in following phases of wound healing 主要(zhǔy224。o)應(yīng)用于傷口愈合的以下階段 Cleaning 清潔 Granulation 肉芽形成 Especially for deep small cavity wounds 尤其用于較深而且較小的孔腔性潰瘍 Rarely 很少,第三十二頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Main indication 主要適應(yīng)癥 Infected wounds (deep and superficial ) 感染(gǎnrǎn)傷口（深部和表淺） Necrotic wounds (deep and superficial ) 壞死傷口（深部和表淺） Wounds with stagnating healing 愈合停止的傷口 Wounds wiith tendency for bleeding 存在出血傾向的傷口,第三十三頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Contra indication 禁忌癥 Dry or crusted wounds 干燥或結(jié)痂傷口 Dry necrosis 干性壞死 Thirddegree burns or higher 3度或3度以上燒傷 Exercise caution 注意 Pressure releases wound exudate again壓力解除傷口會(huì)再次滲出 Remove Alginates residualfree 去除藻酸鹽類敷料(fūli224。o)時(shí)不應(yīng)留有殘余 （danger of infection） (具有危害性或感染性) Do not apply with pressure 不應(yīng)加壓使用 Avoid overlapping wound edges 避免與傷口邊緣重疊,第三十四頁(yè)，共九十五頁(yè)。,Wound dressings—Alginates 傷口(shāngkǒu)敷料—藻酸鹽類敷料,Fixation 固定 Alginates need to be covered by a secondary dressing 藻酸鹽類敷料需要采用次級(jí)敷料加以覆蓋 Noninfected wound Fine pored foam dressing :hydrocolloid or film dressing 非感染性傷口(shāngkǒu)：細(xì)孔泡沫敷料、水膠敷料或薄膜敷料 Infected wound Elastic gauze bandages: tubular bandages or non woven fixation products 感染性傷口：彈力繃帶、筒形繃帶或非編織性固定產(chǎn)品,第三十五頁(yè)，共九十五頁(yè)。,Wound dressings—Hydrofiber dressings 傷口(shāngkǒu)敷料—親水性材料,Description 說(shuō)明 Made of “Natrium carboxymethycellulose”由羧甲基纖維素制成 High absorption capacity 吸收性能(x236。ngn233。ng)較高 Turns into transparent get when in contact with wound exudate 垂直吸收創(chuàng)面滲出液,第三十六頁(yè)，共九十五頁(yè)。,Wound dressings—Hydrofiber dressings 傷口(shāngkǒu)敷料—親水性材料,Key objectives 使用主要目的 Absorption of wound exudate吸收傷口滲出液 Inclusion of wound exudate even under pressure (compression therapy) 即使可以(kěyǐ)在壓力作用下（加壓治療）也可以(kěyǐ)吸入傷口滲液 Predominate use in following phases of wound healing 主要應(yīng)用于傷口愈合的以下階段 Cleansing:Exuding sloughed wounds清潔：排除傷口腐肉 Granulation:肉芽形成：很少,第三十七頁(yè)，共九十五頁(yè)。,Wound dressings—Hydrofiber dressings 傷口敷料(fūli224。o)—親水性材料,Main indication 主要適應(yīng)癥 Highly secreting wounds 高分泌型傷口 Acute and chronic wounds急性和慢性傷口 Postoperati