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How to heal necrotic wounds?

Necrotic wounds, in which tissue is damaged or infected leading to cell death and softening of tissue, often require special treatment options to promote healing. Necrotic wounds are common in infection, trauma, surgery, etc. If not treated in time, it may lead to the spread of infection and seriously endanger the life of the patient.


Overview :

Necrotic wounds are a common clinical problem in which tissue is damaged or infected leading to cell death and tissue softening. Necrotic wounds often require specific treatment options to promote healing. Necrotic wounds are commonly seen in conditions such as infection, trauma, surgery, etc. If left untreated, it can lead to the spread of the infection and seriously endanger the life of the patient.

Treatment options :

To clean the wound :

Before treating a necrotic wound, the wound is first cleaned to remove dead tissue and bacteria. The wound can be cleaned with normal saline or 3% hydrogen peroxide solution.

Use Hydrogel Dressing:

It can be done with Hydrogel Dressing. This method uses the wound's fluid to break down dead tissue. Semi-occlusive or occlusive dressings are mainly used. It can be used to help speed up the breakdown of dead tissue. Care must be taken to protect the skin surrounding the wound from maceration. Autolytic debridement should not be used (or should be used with caution) in diabetic wounds or wounds caused by arterial insufficiency. Change the dressing daily and keep the wound clean and dry. When changing the dressing, wound healing can be observed and adjusted in time.

Apply antibiotics :

Infection is one of the main causes of necrotic wounds, so antibiotics are needed to treat the infection. The choice of antibiotic should be individualized according to the type of bacteria and the condition of the patient.

Nutritional Support :

Nutritional support is very important for the healing of necrotic wounds. Patients need to consume adequate nutrients to support wound repair.

Physiotherapy :

Physical therapy can promote the healing of necrotic wounds. For example, infrared therapy can promote tissue metabolism and inflammation dissipation, and direct current therapy can regulate the function of the nervous system.

Note :

The treatment of necrotic wounds requires patience and care. Medical staff needs to closely observe the healing of the wound and adjust the treatment plan in time.

During the treatment of necrotic wounds, patients need to actively cooperate with the treatment of medical staff, keep the wound clean and dry, and change the dressing on time.

The treatment of necrotic wounds takes a relatively long time, and patients need to wait patiently and actively cooperate with the treatment to improve the healing rate and reduce sequelae.

Summary :


Healing necrotic wounds is an important therapeutic process that requires close collaboration between healthcare professionals and patients. The healing of necrotic wounds can be promoted by cleaning the wound, changing dressings, applying antibiotics, nutritional support, and physical therapy.

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Editor: kiki Jia

Date: May 13, 2023