下肢溃疡：诊断与管理

2019 | English | 9390281288 | True PDF | 193 pages | 14 MB

The aim of this chapter is to focus on the diagnosis and management of leg ulcers. The management of leg ulcers was initially the domain of surgeons which later extended to vascular surgeons, plastic surgeons and of course the dermatologists. Many a time dermatologists are the first to encounter patients with venous ulcers, vasculitic ulcers, pyoderma gangrenosum and very importantly neuropathic ulcers due to diabetes and leprosy. Leg ulcers are challenging which requires a liaison of multispecialty to efficiently manage and relieve the ailing patients who are burdened by the chronicity of the condition. This book consists of 18 chapters, which include epidemiology and socioeconomic impact, venous anatomy of the lower extremity, pathology of leg ulcers, microbiology of leg ulcers, wound healing, history taking and examination in chronic leg ulcers, venous leg ulcers, diabetic foot ulcers, neuropathic ulcers, principles of leg ulcer management, topical therapy for leg ulcers, systemic therapy of leg ulcers, compression therapy and dressings, role of skin grafting in managing leg ulcers, role of platelet rich plasma and platelet rich fibrin in managing leg ulcers, and novel research and recent advances in managing leg ulcers. This book has been designed to be of benefit to residents and consultants across specialties of dermatology, surgery, vascular surgery and plastic surgery.

本章旨在关注下肢溃疡的诊断和管理。最初，下肢溃疡的管理是外科医生的责任，后来扩展到血管外科、整形外科以及当然还包括皮肤科医生。很多时候，皮肤科医生是首次遇到静脉性溃疡、炎症性溃疡、脓疱病以及糖尿病和麻风引起的神经源性溃疡的患者。下肢溃疡具有挑战性，需要多学科的合作来有效地管理和缓解这些病人饱受疾病长期困扰的问题。本书包含18章内容，涵盖流行病学和社会经济影响，下肢静脉解剖结构，下肢溃疡病理学，下肢溃疡微生物学，慢性下肢溃疡的病史采集和体格检查，静脉性溃疡，糖尿病足溃疡，神经源性溃疡，腿溃疡管理原则，腿部溃疡外用疗法，下肢溃疡系统治疗，压力治疗与敷料，皮肤移植在管理下肢溃疡中的作用，以及使用血小板浓缩液和富纤蛋白在处理下肢溃疡中所起的作用，最后是关于管理下肢溃疡的最新研究进展。本书旨在为各专业领域包括皮肤科、外科、血管外科及整形外科的专业人员提供帮助。

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