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截瘫患者压疮的外科治疗及预防复发的可能性

Surgical treatment of pressure sores in paraplegics and possible prevention of their recurrence.

作者信息

Reichert H

出版信息

Scand J Plast Reconstr Surg. 1986;20(1):125-7. doi: 10.3109/02844318609006307.

DOI:10.3109/02844318609006307
PMID:3775281
Abstract

The surgical treatment of pressure sores in paraplegics was, and still is, a very difficult and not at all solved problem, since these necrotic ulcers are not caused by any disease of the local tissue, but by lack of sensibility due to interruption of the spinal cord at a much higher level. For this reason all our efforts must be aimed at attaining two goals. First, we must replace the pressure sore by a supple, well-nourished cushion of soft tissue, which can support the weight of the body for a limited period of time. Second, we must prevent new pressure sores from developing by ensuring even distribution of the weight of the body and frequent change of body position.

摘要

截瘫患者压疮的外科治疗过去是、现在仍然是一个非常棘手且远未解决的问题,因为这些坏死性溃疡并非由局部组织的任何疾病引起,而是由于脊髓在更高水平中断导致的感觉缺失。因此,我们所有的努力都必须旨在实现两个目标。首先,我们必须用柔软、营养良好的软组织垫来替代压疮,该软组织垫能够在有限时间内支撑身体重量。其次,我们必须通过确保身体重量均匀分布和频繁改变体位来防止新的压疮形成。

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