前言： 目的：探讨对不同伤口换药方法，换药时机，伤口用药，有利伤口修复。
Objective:To discuss on the methods and opportunity of changes of dressing, mediation on wound for promoting the wound healing.
“医生”，他说，指着我拿来的用来给他伤口换药的一堆未打开的纱布，“你认为我可以负担更多吗？
"Hey, Doc, " he said, pointing to the pile of unopened gauze I had brought into the room to re-dress his wound. "Do you think I could have the extra?
去年我做了慢性骨髓炎手术二十余例，多数病人术后伤口愈合良好，部分经换药后愈合。
Last year I had to do surgery of chronic osteomyelitis more than twenty cases, the majority of patients the wound healed well, some of the dressing was changed after the healing.
在88%的慢性伤口和95%的急性伤口患者中，改用新型的抗粘连敷料能够降低换药时的疼痛。
Switching to a new, non-adherent dressing reduced pain during dressing changes in 88% of patients with chronic wounds and 95% of patients with acute wounds.
观察换药前用1%盐酸丁卡因湿敷拔甲伤口减轻病人换药疼痛的效果。
Objective:To observe the effect of wet compress with 1% tetracaine chloride for wound change of dressing to relieve pain of patients after undergoing nail extracting.
结果13例一期闭合伤口的患者中2例出现伤口部分皮肤坏死，清除坏死皮肤经十余天换药后伤口闭合。
Results 13 cases treated with debridement and direct closure, 2 of them was skin necrosis in part wound.
结论对感染性伤口用蜂蜜换药辅助治疗是一种切实可行的方法，效果良好，简便易行，经济适用。
Conclusions It is a feasible, effective, simple and economical method to use honey in infectious wound.
伤口的评估分类，为换药提供了依据，强调清洗、清创、湿敷在伤口愈合的作用。
How to change wound dressing corresponds to the way in which to evaluate and classify wounds. The effect of washing, debridement and wet dressing on wound healing is emphasized.
结果10例肌腱皮瓣移植后完全成活，1例部分坏死，经换药后伤口愈合。
Results The flaps survived in 10 cases and had partial necrosis in 1 case which achieved secondary healing after dress changing.
目的观察换药前利多卡因湿敷伤口对缓解换药疼痛的效果。
Objective To compare analgesic effects of lidocaine wet packing and distilled water wet packing during dressing change of nail extraction wound.
伤口裂开2例，其中1例换药后伤口愈合，另1例经再次行跟腱修复术后伤口愈合；
Of 2 cases wound rupturing, 1 case healed after changed dressings, the another healed after achilles tendon sutured;
术后伤口发生并发症11例，6例不愈合，4例感染，2例皮肤坏死，1例窦道形成，均经换药及清创处理，其中2例行二期肌皮瓣转移术，均治愈。
Skin incision complications were noted in 11 cases including non-healing in 6 cases, infection in 4 cases, skin necrosis in 2 cases and sinus formation in 1 case.
比较两组患者清创缝合术后换药时伤口痂皮损伤发生率及伤口良好愈合率。
The crust damage rate at changing dressings and the healing rate were compared between the two groups.
比较两组患者清创缝合术后换药时伤口痂皮损伤发生率及伤口良好愈合率。
The crust damage rate at changing dressings and the healing rate were compared between the two groups.
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