woundcleaning--Techniques伤口清洁(qīngjié)---技术•Componentswhichneedtoberemovedfromwoundbed•需要从创面去除的部分•Surplusexudate多余渗出物•Necrotictissue坏死组织(zǔzhī)•Deadcells死亡细胞•Breadinggroundforbacteriaandcomponentswhichmightbesupportivetothedevelopmentofbiofilms.•细菌滋养环境以及可能会促进生物被膜形成的成分第一页，共九十五页。woundcleaning伤口(shāngkǒu)清洁•Generalgoal•总体目标•Toremovedebriesandfroeignbodies.去除碎屑与异物•Necrotictissue坏死组织•Deadcells死亡细胞•Fibrin纤维蛋白•Toxins，MMP毒素，MMP•Foreignbodies(forinstanceremainsforpreviouslyuseddressings)•异物（例如先前(xiānqián)使用的敷料）第二页，共九十五页。Woundcleaning--Techniques伤口清洁(qīngjié)-----技术•Requirementsonwoundrinsingsolutions•对伤口冲洗液的要求•Shouldbesterilie无菌•Notcolored无色•Genteltocells/nontoxic细胞温和型/无毒•Bodytemperature(coolingdownwoundbedreducesorinactivatescellactivity)>28nofunction℃•体温(tǐwēn)（冷却创面、减少细胞活性或使其灭活）>28℃无效第三页，共九十五页。Woundcleaning伤口(shāngkǒu)清洁•Ways•方法•Basiccleanningofwoundbed,woundedgesandsurroundingarea•对伤口创面、边缘(biānyuán)以及周围进行基本清洗•Antibacteiracleanning抗菌剂清洗•Woundrinsing伤口冲洗•WoundcleaningWettodry干燥清洗伤口•Debridement清创术•Negtivepressure负压第四页，共九十五页。Woundcleaning伤口清洁(qīngjié)----技术•CleanigwithRinsingsolution•采用冲洗溶液进行清洗•Saline生理盐水•Ringersolution林格氏液•Indication:Cleaningwound适应症：清洁(qīngjié)伤口•Nontouchtechnique非接触技术第五页，共九十五页。Woundcleaning伤口(shāngkǒu)清洁----技术•Cleanningwithantisepticsolution•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:Infectedandcontaminatedwound•适应症：感染伤口和污染伤口•Nontouchtechnique:Fromoutsidetocenterofwoundinordertoavoidfurtherspreadingofbacteriatothesurroundingarea.•非接触技术：从外围向中间(zhōngjiān)清洗以避免细菌向周围进一步播散第六页，共九十五页。Woundcleaning--Antis...
