鑲涜吀娓呭壍(chu脿ng)琛�(sh霉)
鍨嬭櫉(h脿o)锛歁UI-T8
鑲涜吀绉戞竻鍓�(chu脿ng)琛�(sh霉)鐨勪富瑕佺洰鐨勶細
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鍦�(gu贸)澶栨竻鍓�(chu脿ng)琛�(sh霉)璧锋簮锛�
娉曞湅(gu贸)鐨勫柆鍒╅樋鍏嬶紙Guy de Chauliac,1300-1368)1363骞碯鏃╂彁鍑烘竻鍓�(chu脿ng)骞舵摯(ku貌)澶у壍(chu脿ng)鍙ｄ互淇冮€�(j矛n)寮曟祦鐨勮榛�(di菐n)銆�
娉曞湅(gu贸)鐨凣ersdorff 1517骞村壍(chu脿ng)鍒朵簡涓€绋墬瀛�锛屽彲浠ュ幓闄ゅ偡鍙ｅ収(n猫i)妲嶅綀鍜岀暟鐗�銆�
淇勫湅(gu贸)杌嶉啱(y墨)Carl Reyher(1846-1890)1877骞寸⿳妤典富寮靛＋鍏电殑妲嶅偡鍚庢竻鍓�(chu脿ng)锛岄€�(j矛n)琛屽墠鐬绘€у皪(du矛)姣旂爺绌�锛岀櫦(f膩)鐝�(xi脿n)鎳�(y墨ng)鐢↘J鍔戣垏鏃╂湡娓呭壍(chu脿ng)鍌峰摗鐨勬浜＄巼鐐�10.5%锛岃€屽欢鏈熸墜琛�(sh霉)鐨勬浜＄巼鐐�62.9%銆�
1898骞村痉鍦�(gu贸)钀婃瘮閷殑Friederic閫氶亷(gu貌)鍕�(d貌ng)鐗╁(sh铆)椹�(y脿n)璀夊(sh铆)姹℃煋鍌峰彛閫�(j矛n)琛屾竻鍓�(chu脿ng)鐨刏鏈夋晥鏅�(sh铆)闄愭槸琛�(sh霉)鍚�6灏忔檪(sh铆)
娓呭壍(chu脿ng)琛�(sh霉)鐨勫垎椤�(l猫i)锛�
锛�1锛夊绉戞墜琛�(sh霉)娓呭壍(chu脿ng) (surgical debridement)
锛�2锛夎嚜婧舵竻鍓�(chu脿ng) (autolytic debridement)
锛�3锛夐叾瑙ｆ竻鍓�(chu脿ng) (enzymatic autolysis debridement)
锛�4锛夌敓鐗╂竻鍓�(chu脿ng) (biodebridement or larval debridement)
锛�5锛夋(j墨)姊版竻鍓�(chu脿ng) (mechanical debridement)
锛�6锛夎伅(li谩n)鍚堟竻鍓�(chu脿ng)(combined debridement)
姗�(j墨)姊版竻鍓�(chu脿ng) (mechanical debridement)锛�
鏁锋枡娉�
姘寸檪娉曞拰娌栨礂娉�
鑱氱硸閰怹L
璨�(f霉)澹撶檪娉�
姘寸檪娉曞拰娌栨礂娉曪細
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鑴堟矕寮忕亴娲楁槸姘寸檪娉曠殑涓€绋�锛屾槸鎸囬亱(y霉n)鐢ㄥ姞澹撶殑銆佽剤娌栧紡娑查珨鍘绘矕娲楀苟娓呮綌鍓�(chu脿ng)鍙�锛屽壍(chu脿ng)鍙ｇ殑娓呮綌纰庣墖鍙婃矕娲楁恫琚惛鍘�銆備竴浜涘(xu茅)鑰呰獚(r猫n)鐐哄惛寮曠殑閬�(gu貌)绋嬭兘澶犲埡婵€鑲夎娊绲勭箶鐨勫舰鎴�銆�
璨�(f霉)澹撶檪娉曪細
鏄寚灏�(du矛)鍓�(chu脿ng)闈㈤€�(j矛n)琛岄€ｇ簩(x霉)鎴栭枔鏂峰湴璨�(f霉)澹撳惛寮�锛岄€氬父瑾�(r猫n)鐐鸿┎鏂规硶淇冮€�(j矛n)鍓�(chu脿ng)鍙ｆ剤鍚堢殑姗�(j墨)鍒舵湁锛氭笡杓曢枔璩�(zh矛)姘磋叓锛涙敼鍠勫眬閮ㄥ惊鐠�(hu谩n)锛涙竻闄ら亷(gu貌)澶氱殑鍌峰彛婊叉恫锛涗績閫�(j矛n)绾栫董姣嶇窗(x矛)鑳�銆佸収(n猫i)鐨窗(x矛)鑳�銆佽绠″钩婊戣倢绱�(x矛)鑳炵殑澧炵敓锛涘惛寮曞壍(chu脿ng)鍙ｅ懆?ch膿)顚勫嫙?x矛)鑳炲悜ZX閬风Щ锛涙笡灏戠窗(x矛)鑿屾暩(sh霉)閲�銆�
鑱�(li谩n)鍚堟竻鍓�(chu脿ng)(combined debridement)锛�
鍏惰榛�(di菐n)鏄皣涓婅堪娓呭壍(chu脿ng)鏂规硶鑱�(li谩n)鍚堜娇鐢紝褰㈡垚鍎�(y艒u)鍕�(sh矛)浜掕(b菙)锛屽緸鑰岄仈(d谩)鍒板姞閫熸竻鍓�(chu脿ng)閬�(gu貌)绋嬨€佹敼鍠勬晥鏋滅殑鐩殑銆�
瓒呰伈鑴堝嫊(d貌ng)娓呭壍(chu脿ng)琛�(sh霉)锛氬氨鏄竴绋伅(li谩n)鍚堟竻鍓�(chu脿ng)娉曪紙姘寸檪娉�+娌栨礂娉�+璨�(f霉)澹撶檪娉曪級
鑲涜吀鍌崇当(t菕ng)鎻沋F寮忚垏瓒呰伈鑴堝嫊(d貌ng)娓呭壍(chu脿ng)琛�(sh霉)姣旇純
鍌崇当(t菕ng)鎻沋F寮忥細
鎮ｈ€呯棝鑻﹀ぇ锛屾竻娼斾笉澶犲竟搴�銆�
娑堣€楀ぇ閲忕殑娑堟瘨鏁锋枡銆佸櫒姊板拰浜哄姏绛夎硣婧�锛屽鍔犱簡閱�(y墨)闄㈢殑YL鎴愭湰鍜屾偅鑰呯殑YL璨�(f猫i)鐢ㄣ€�
鐢变簬鍣ㄦ鐨勫弽寰�(f霉)浣跨敤鍜岄啱(y墨)璀�(h霉)浜哄摗鐨勪笉瑕�(gu墨)鑼冩搷浣滃師鍥�锛屽鍔犱簡閱�(y墨)婧愭劅鏌撶殑棰�(f膿ng)闅�(xi菐n)銆�
瓒呰伈鑴堝嫊(d貌ng)娓呭壍(chu脿ng)琛�(sh霉)鐨勪綔鐢ㄧ壒榛�(di菐n)锛�
1.閬╃敤浜庤倹鑵哥梾鎵嬭(sh霉)涓惛闄勮喛娑诧紝姹¤鍜屽壍(chu脿ng)闈㈢殑澹炴绲勭箶銆�
2.閬╃敤浜庤倹鑵告墜琛�(sh霉)鍚庡壍(chu脿ng)闈㈢殑鎻涜棩铏曠悊銆�
3.鐢ㄧ敓鐞嗛菇姘存矕娲楁竻娼斿壍(chu脿ng)闈�锛屽幓闄ゅ壍(chu脿ng)闈㈢殑澹炴绲勭箶浠ュ埄浜庡壍(chu脿ng)闈㈢敓闀�(zh菐ng)銆�
4.鍒╃敤瓒呰伈鑴堝嫊(d貌ng)浣滅敤鍧囧嫽鐨勫皣姘撮湩鍖栨矕娲楀壍(chu脿ng)闈�锛屾笡灏戝皪(du矛)鍓�(chu脿ng)闈㈢殑鍒烘縺锛屾笡杓曟偅鑰呯殑鐥涜嫤銆�
5.鍙互鏍规摎(j霉)鎮ｈ€呭壍(chu脿ng)闈㈢殑娓呮綌闇€瑕侀仼鐣�(d膩ng)?sh霉)鎭納(di脿o)閰嶆湁閲濆皪(du矛)鎬х殑钘ョ墿锛岃捣鍒癤Y婊呰弻鐨勬晥鏋�銆�
6.娓呮綌鍓�(chu脿ng)闈㈡檪(sh铆)鍙矤(f霉)澹撳惛寮曞皣鍓�(chu脿ng)闈㈢殑姹℃按鍚搁櫎骞插噲銆傝捣鍒版竻娼斿壍(chu脿ng)闈㈢殑浣滅敤銆�
7.鍙互绡€(ji茅)鐪佹彌钘ュ櫒姊板拰鏁锋枡鐨勬秷鑰�锛岀渷鍘讳笉蹇呰鐨勫櫒姊版秷姣�锛岀瘈(ji茅)鐪佺稉(j墨ng)璨�(f猫i)銆�
8.娓涘皯閱�(y墨)婧愪氦鍙夋劅鏌�銆�
瓒呰伈鑴堝嫊(d貌ng)娓呭壍(chu脿ng)鍎€鐨勭壒榛�(di菐n)锛�
1.閰嶅倷浜嗚秴鑱叉按闇у寲娌栨礂瑁濈疆
2.閰嶅倷浜嗚剤鍕�(d貌ng)澹撳姏娓呮礂瑁濈疆
3.閰嶅倷浜嗚矤(f霉)澹撳惛寮曡缃紙璨�(f霉)澹撶摱銆佽矤(f霉)澹撶锛�
4.閰嶅倷浜嗚Ц鎺у紡娑叉櫠灞忓箷锛屾搷浣滅啊(ji菐n)渚�銆�
