Rubayi S, Burnett C C
Rancho Los Amigos Medical Center, Downey, CA 90242, USA.
Ann Plast Surg. 1999 May;42(5):533-9. doi: 10.1097/00000637-199905000-00012.
The practice of multiple-stage management in the treatment of patients with multiple pressure ulcers has long represented the standard of care in many specialty centers. The authors have observed that an aggressive surgical approach has proved necessary for control of this devastating problem in these patients. Their experience with one-stage reconstruction of multiple pressure sores over a 10-year period (between 1986 and 1996) in 120 spinal cord-injured patients has revealed certain advantages of this comprehensive method of surgical management. Although cumulative operating time and intraoperative blood loss were somewhat increased, the number of anesthetic episodes and the hospital stay were less than that seen in patients managed in multiple stages. Accordingly, rehabilitation and societal reintegration can be initiated earlier, and overall hospital cost may be better contained.
在许多专科中心，对患有多处压疮的患者进行多阶段管理的做法长期以来一直是护理标准。作者观察到，积极的手术方法已被证明对于控制这些患者的这一毁灭性问题是必要的。他们在1986年至1996年的10年间，对120例脊髓损伤患者的多处压疮进行一期重建的经验揭示了这种综合手术管理方法的某些优势。尽管累计手术时间和术中失血量有所增加，但麻醉次数和住院时间比多阶段管理的患者要少。因此，可以更早地开始康复和重新融入社会，总体医院成本也可能得到更好的控制。
