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本文引用的文献

1
Elective proximal lower limb amputation in spinal cord injury patients with chronic pressure ulcers: improve quality of life, function, and shorten hospital stay. Case report.脊髓损伤合并慢性压疮患者的选择性近端下肢截肢术：改善生活质量、功能并缩短住院时间。病例报告。
Eur J Phys Rehabil Med. 2014 Oct;50(5):557-60. Epub 2014 Apr 3.
2
Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries.
Spinal Cord. 2008 Feb;46(2):135-9. doi: 10.1038/sj.sc.3102089. Epub 2007 Jul 3.
3
Hemipelvectomy for severe decubitus ulcers in patients with previous spinal cord injury.半侧骨盆切除术治疗既往有脊髓损伤患者的严重褥疮。
Am J Surg. 2003 Jan;185(1):69-73. doi: 10.1016/s0002-9610(02)01123-6.
4
[Amputation of the lower extremity in paraplegic patients. Etiology, sequelae and patient management].[截瘫患者的下肢截肢。病因、后遗症及患者管理]
Orthopade. 2001 Mar;30(3):150-4. doi: 10.1007/s001320050588.
5
The needs and unique problems facing spinal cord injured persons after limb amputation.脊髓损伤患者截肢后所面临的需求和独特问题。
Paraplegia. 1983 Aug;21(4):260-3. doi: 10.1038/sc.1983.41.

针对一名患有慢性完全性脊髓损伤和髋关节离断的患者的综合多学科治疗方法。

Integral multidisciplinary approach in a patient with chronic complete spinal cord injury and hip disarticulation.

作者信息

Quinzaños-Fresnedo J, Rodríguez-Reyes G, Mendoza-Cosío C, Pérez-Zavala R, Márquez-Guitérrez E A, Hernández-Sandoval S

机构信息

División de Rehabilitación Neurológica, Instituto Nacional de Rehabilitación , Mexico DF, Mexico.

Laboratorio de órtesis y prótesis, Instituto Nacional de Rehabilitación , Mexico DF, Mexico.

出版信息

Spinal Cord Ser Cases. 2015 Oct 8;1:15016. doi: 10.1038/scsandc.2015.16. eCollection 2015.

DOI:10.1038/scsandc.2015.16
PMID:28053719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5129409/
Abstract

STUDY DESIGN

Case report.

OBJECTIVES

To highlight the importance of the integral multidisciplinary management of a patient with complete chronic spinal cord injury and hip disarticulation secondary to pressure ulcers (PU).

SETTING

Mexico City.

METHODS

The case of a 40-year-old male violinist with a spinal cord injury, American Spinal Injury Association Impairment Scale A and neurological level T4, is reported. The patient initiated with bilateral ischiatic, left trochanteric and sacral PU. The ulcers were complicated with infection with sluggish evolution. Thus, it was decided a multidisciplinary management by means of left hip disarticulation and elaboration of a cosmetic prosthesis and the manufacture of a viscous elastic foam cushion for the prevention of new PU. The patient was quickly included in his professional and social activities.

CONCLUSION

This study proves that multidisciplinary management of patients with spinal cord injury with complications such as the presence of PU that are resistant to noninvasive treatment can be the solution for the patient's reintegration into their normal life with adequate quality of life.

摘要

研究设计

病例报告。

目的

强调对一名患有完全性慢性脊髓损伤且因压疮导致髋关节离断的患者进行综合多学科管理的重要性。

地点

墨西哥城。

方法

报告一名40岁男性小提琴家的病例，该患者患有脊髓损伤，美国脊髓损伤协会损伤分级为A级，神经损伤平面为T4。患者最初出现双侧坐骨、左侧大转子和骶部压疮。溃疡并发感染，进展缓慢。因此，决定通过左侧髋关节离断、制作美容假体以及制造粘性弹性泡沫垫以预防新的压疮进行多学科管理。患者很快重新参与到其职业和社会活动中。

结论

本研究证明，对于脊髓损伤且伴有诸如对非侵入性治疗有抵抗性的压疮等并发症的患者，多学科管理可为患者以适当的生活质量重新融入正常生活提供解决方案。