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  • 處理傷口有哪些錯誤和正確的方法?

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           生活中磕磕碰碰總是難免,為此,許多家庭的小藥箱里都常備消毒藥水,以備不時之需。日常處理傷口所用的殺菌消毒藥水,除了紅藥水、紫藥水,酒精和雙氧水之外,還有碘類消毒劑等。但是,這些我們經常使用的這些消毒藥水,可能并不是處理傷口時的正確選擇,這是為什么呢?

      據《錢江晚報》報道,紅藥水、紫藥水早就已經退出了“歷史舞臺”。紅藥水是2%的汞溴紅水溶液,通過汞離子解離,與細胞的蛋白質結合,達到消毒殺菌的作用。不過,紅藥水穿透性弱,殺菌、抑菌作用有限,如果對汞過敏者使用,會引起接觸性皮炎。紫藥水由于有甲紫的成分,因此顯紫色,“甲紫”被國外試驗證實會誘發癌癥,有破損的皮膚應禁用;另外,紫藥水只有抑菌效果,沒有殺菌功能,在臨床基本上已經棄用。

      針對雙氧水,中山大學附屬第一醫院慢性造口傷口護理專科主任護師黃漫容在接受《羊城晚報》采訪時介紹,在臨床中已經很少使用雙氧水來消毒傷口了,早在幾年前,國際指南中已不再推薦用雙氧水消毒傷口。黃漫容表示,雙氧水的刺激性比較強,會引起傷口疼痛或令疼痛加劇。2014年全球壓瘡護理實踐指南中提出:即使在低濃度狀態下,過氧化氫(雙氧水)也對組織有高度毒性,不可作為首選的外用殺菌劑。此外,75%酒精也不合適;據《羊城晚報》報道,75%酒精一般不用于表皮缺損的創面上,因刺激性大,易導致傷口疼痛或疼痛加重。另據《南方日報》報道,碘酊是碘伏與酒精的混合溶液,相對酒精消毒效果更好,但是由于它含有酒精成分,酒精的禁忌癥它同樣擁有。

      那么,如果不慎擦破皮膚,應該用什么給傷口消毒殺菌呢?建議使用碘伏。《南方日報》介紹稱,碘伏是碘的絡合物,它比起酒精消毒范圍更廣泛,比起碘酊對皮膚的刺激性更小,安全性更高,因此,在臨床實踐及家庭自我藥療中應用更為普遍。但需注意的是,它不可與紅藥水同用,因為紅藥水里的汞易與碘發生化學反應生成碘化汞,對皮膚具有腐蝕性和毒性。

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