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Summary

Samenvatting Overzicht algemene heelkunde management verschillende wondtypen

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Dit is geen samenvatting. Het is een overzicht in puntjes van het hoofdstuk. Ideaal om snel te overlopen/herhalen;

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  • January 26, 2023
  • 15
  • 2021/2022
  • Summary
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Management van verschillende
wondtypen


Schaafwonde
wat?
epiderm en deel van dermis is beschadigd

etiologie

wrijven over ruw opp

gevoeliger bij fysio/chronische aandoeningen (dunne huid)

kenmerken

epidermis → geen bloeding

ook dermis → puntbloedingen, exsudaat, korst

behandeling

verwijderen contaminatie , spoelen

per secundam

wel of geen verband

evt zinkoxyde op wondranden

Kneuzing
wat?

stompe trauma, beschadiging onderliggend weefsel

etiologie

stompe trauma (val, slag)



Management van verschillende wondtypen 1

, bijtwonde paard, varken

kenmerken

huid, subcutis, onderliggende structuren

open of gesloten

afhankelijk van snelheid, massa en duur kneuzing

weefselverplettering → zenuwen → pijnlijk

veel kans op infectie (ookal gesloten)

compatimenteringssyndroom

kneuzing neuromusculaire bundels in fascie

⬆⬆ druk
geen verband!

soms incisie om druk te ⬇⬇
behandeling

necrotisch? verwijderen en afwachten evt meer necrose

amputatie

letsels ontstaan tgv kneuzing

echymosen

wat?

diffuse bloeduitstorting door stompe trauma

blauwe plek

evolutie (resorptie)

resorptie na 2-4 weken

behandeling

geen

drukverband, ice pack

resorberende zalf

hematoom




Management van verschillende wondtypen 2

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