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首页> 外文期刊>The American journal of hospice and palliative care >Surgical palliative care of advanced wounds.
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Surgical palliative care of advanced wounds.

机译：晚期伤口的手术姑息治疗。

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摘要

The history of surgery is rich with accomplishments in wound care, a legacy that recently has been abandoned by many surgeons only to be taken up by nonsurgical providers. When dealing with advanced wounds at the end of life, such as pressure ulcers or venous stasis ulcers, goals of treatment are relief of pain, elimination of odor, and control of wound exudates and infection. Benefits and risks of surgical intervention must be discussed with the patient and family in terms of the patient's perceived prognosis, extent of tissue necrosis and infection, the rate of deterioration, and the underlying wound pathogenesis. When appropriate, the role of surgery looms large in the treatment of chronic, advanced wounds, especially when minimally invasive surgical techniques are used.
机译：外科手术的历史在伤口护理方面取得了丰富的成就，这是许多外科医生最近放弃的遗产，后来由非外科医师接受。在生命后期处理晚期伤口（例如压疮或静脉淤血溃疡）时，治疗的目标是减轻疼痛，消除异味以及控制伤口渗出液和感染。必须根据患者的预后，组织坏死和感染的程度，恶化的速度以及潜在的伤口发病机理，与患者及其家人讨论手术干预的益处和风险。在适当的情况下，在慢性，晚期伤口的治疗中，手术的作用越来越明显，尤其是在使用微创手术技术时。

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