Diagnóstico e tratamento de úlcera hipertensiva de Martorell: artigo de revisão
DOI:
https://doi.org/10.36489/nursing.2021v24i282p6505-6510Keywords:
Leg Ulcer, Hypertension, Cutaneous Ulcer, Wounds and InjuriesAbstract
lntroduction: Martorell's hypertensive ulcer is a chronic wound, associated with systemic hypertension with difficult clinicai management and it is often underdiagnosed. Goal: To investigate the diagnostic method and current treatments for Martorell's hypertensive ulcer disease. Method: A descriptive and qualitative study of integrative literature review with a systematic analysis of bibliographic references from PubMed, SciELO, MEDLINE and LILACS databases, ranging from 2016 to 2021, as well as selected articles from CAPES journals. Results: patients usually present with a small, rounded and superficial wound with cyanotic and necrotic edges and occasional perilesional erythema. Distal pulses are usually present and there is an absence of edema and local varicose veins. From all the signs and symptoms reported by patients with this type of injury, it is possible to point out that the pain is intense and disproportionate to its dimension. Conclusion: The core of diagnosis is the clinicai evaluation and the treatment is controlled systemic blood pressure, regular bandages and, if needed, analgesics, antibiotics and peripheral vasodilators.
