Melcher R E, Longe R L, Gelbart A O
Department of Family Medicine, Medical College of Georgia School of Medicine, Augusta 30912-5470.
Postgrad Med. 1988 Jan;83(1):299-308. doi: 10.1080/00325481.1988.11700122.
Pressure sores are a serious but often avoidable problem. The best management plan focuses on early identification of high-risk patients, appropriate allocation of resources, and adequate techniques of pressure relief. A standardized treatment plan that is familiar to care givers should be followed. The clinician must correct all conditions that retard the healing process, including nutritional deficits and underlying medical problems. Multiple-drug therapy must be eliminated, and only established skin care protocols should be followed. Use of systemic antibiotics is reserved for complications, such as osteomyelitis, cellulitis, and sepsis.
压疮是一个严重但通常可避免的问题。最佳管理方案侧重于早期识别高危患者、合理分配资源以及采用适当的减压技术。应遵循护理人员熟悉的标准化治疗方案。临床医生必须纠正所有阻碍愈合过程的状况，包括营养缺乏和潜在的医疗问题。必须避免多种药物联合治疗，仅应遵循既定的皮肤护理方案。全身性抗生素仅用于治疗骨髓炎、蜂窝织炎和败血症等并发症。
