文档介绍：wound cleaning --Techniques伤口清洁---技术
Components which need to be removed from wound bed
需要从创面去除的部分
Surplus exudate多余渗出物
Necrotic tissue坏死组织
Dead cells 死亡细胞
Breading ground for bacteria and components which might be supportive to the development of biofilms.
细菌滋养环境以及可能会促进生物被膜形成的成分
1
整理版课件
wound cleaning伤口清洁
General goal
总体目标
To remove debries and froeign
Necrotic tissue坏死组织
Dead cells死亡细胞
Fibrin纤维蛋白
Toxins，MMP毒素，MMP
Foreign bodies (for instance remains for previously used dressings)
异物（例如先前使用的敷料）
2
整理版课件
Wound cleaning--Techniques 伤口清洁-----技术
Requirements on wound rinsing solutions
对伤口冲洗液的要求
Should be sterilie 无菌
Not colored 无色
Gentel to cells/non toxic 细胞温和型/无毒
Body temperature(cooling down wound bed reduces or inactivates cell activity) >28℃ no function
体温（冷却创面、减少细胞活性或使其灭活）>28℃ 无效
3
整理版课件
Wound cleaning 伤口清洁
Ways
方法
Basic cleanning of wound bed,wound edges and surrounding area
对伤口创面、边缘以及周围进行基本清洗
Antibacteira cleanning 抗菌剂清洗
Wound rinsing伤口冲洗
Wound cleaning Wet to dry 干燥清洗伤口
Debridement 清创术
Negtive pressure负压
4
整理版课件
Wound cleaning 伤口清洁 ----技术
Cleanig with Rinsing solution
采用冲洗溶液进行清洗
Saline 生理盐水
Ringer solution林格氏液
Indication:Cleaning wound 适应症：清洁伤口
Non touch technique非接触技术
5
整理版课件
Wound cleaning 伤口清洁 ----技术
Cleanning with antiseptic solution
采用消毒溶液进行清洗
Octenidin-di-hydrochlorid奥替尼啶盐酸化合物
Polyhexanid 聚已缩胍
Iodine 碘
Indication:Infected and contaminated wound
适应症：感染伤口和污染伤口
Non touch technique:From outside to center of wound in order to avoid further spreading of bacteria to the surrounding area.
非接触技术：从外围向中间清洗以避免细菌向周围进一步播散
6
整理版课件
Wound cleaning --Antiseptic solution 伤口清洁--消毒溶液
Octenidin-di-hydrochlorid奥替尼啶盐酸化合物
Polyhexanid 聚已缩胍
Advantages优点
not colored,not inacticated by body fluids无色、不会被体液灭活
do not initiate resistance ,skin irritation and allergies不会引起抗药性、皮肤刺激或过敏
Disadvantages缺点
not available and reimbursed in many countries在许多地区不能使用而且不能报销
不能采用高压将奥替尼啶注入腔内加以应用
Both should not be applied on cartilage and in conta