Kohyama Keishi, Arisawa Koki, Arisawa Yuko, Morishima Yoko
Department of Plastic and Reconstructive Surgery, Ogaki Municipal Hospital, Ogaki City, Japan.
J Spinal Cord Med. 2019 Nov;42(6):797-799. doi: 10.1080/10790268.2019.1599540. Epub 2019 Apr 4.
Nowadays, people with paraplegia and quadriplegia have greater opportunities to venture into the general public. However, there is also an increased risk of associated hazards. This report describes a 42-year-old man with paraplegia, who was insensate below the T7 level and sustained burns from sitting on a gel wheelchair cushion that had been left on the driver-side seat of a hand control car on a sunny day. Physical examination revealed deep partial-thickness burns on both his buttocks. He underwent surgical debridement and received an autologous split-thickness skin graft, and healed well. In modern times, the lives of people with paralysis are no longer restricted to the bed and wheelchair. Active people with spinal cord injuries inevitably diversify the use of wheelchair cushions in many ways; therefore, there is a greater possibility for the occurrence of associated hazards. This is a preventable issue, so both the user and manufacturers should recognize this potential hazard of gel wheelchair cushions.
如今,截瘫和四肢瘫痪患者有更多机会融入普通大众。然而,相关危险的风险也在增加。本报告描述了一名42岁的截瘫男子,他在T7水平以下失去知觉,因在阳光明媚的日子里坐在一辆手动控制汽车驾驶座上的凝胶轮椅坐垫上而被烧伤。体格检查发现他的双臀部有深度的部分厚度烧伤。他接受了手术清创,并接受了自体中厚皮片移植,愈合良好。在现代,瘫痪患者的生活不再局限于床和轮椅。活跃的脊髓损伤患者不可避免地会在许多方面使轮椅坐垫的使用多样化;因此,发生相关危险的可能性更大。这是一个可预防的问题,所以用户和制造商都应该认识到凝胶轮椅坐垫的这种潜在危险。