von Wild T, Namdar T, Stollwerck P L, Mailänder P, Siemers F
Universitätsklinikum Schleswig-Holstein, Sektion für Plastische Chirurgie, Handchirurgie und Intensiveinheit fürSchwerbrandverletzte, Ratzeburger Allee 180, Lübeck.
Handchir Mikrochir Plast Chir. 2011 Oct;43(5):302-6. doi: 10.1055/s-0031-1285882. Epub 2011 Aug 23.
Self-mutilations are one of the major characteristics of patients with borderline personality disorder (BPD). Thermal injuries of BPD should be treated by a plastic surgeon who is faced to a challenge in the plastic-reconstructive strategy because of the most complex psychiatric disease. This means the need of a multidisciplinary strategy. Based on 3 case reports such conflict between best plastic reconstructive treatment of the burns wound and the psychiatric limit with the appropriate therapy options are presented.
自残行为是边缘型人格障碍(BPD)患者的主要特征之一。由于BPD患者患有极为复杂的精神疾病,其热烧伤应由整形外科医生进行治疗,这给整形外科重建策略带来了挑战。这意味着需要采取多学科策略。基于3例病例报告,阐述了在烧伤创面的最佳整形重建治疗与适当治疗方案的精神科限制之间的这种冲突。