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褥瘡之外科治療

Surgical Management of Pressure Sore

摘要


褥瘡是因長久的局部壓迫,造成循環障礙及組織壞死。慈濟醫院自1988年7月至1990年4月共經歷35例褥瘡病人。發生部位以薦骨為最多。最常見的原發疾患為脊椎損傷。35個病人中有21位可接受皮瓣手術。皮瓣手術的方式則依據褥瘡的位置、深度而有不同的選擇。皮瓣手術後最多的併發症為血腫及復發。為了處理多發性褥瘡或防範將來如果再發時仍有合適的皮瓣可以使用,皮瓣手術的優先順序需加以討論。預防以及及早外科治療應可減低褥瘡病人所造成的沉重醫療負擔。

關鍵字

褥瘡 薦骨 坐骨 粗隆褥瘡 皮瓣手術

並列摘要


Pressure sore or bed sore or decubitus ulcer is due to prolonged and excessive pressure on the bony prominence of the body surface. From July, 1988 to April, 1990, 35 cases of pressure sore were admitted to Tz’u-chi Buddhist General Hospital. Spinal cord injury was the leading underlying disease. Sacrum was the most frequent involved area. Various operative procedures for the recon-struction of the pressure sores were presented in accordance to the site of the involvement. Hematoma was the most common complication. In order to handle the possibilicy of recurr-ence and multiple pressure sores, flap slection in consideration no to violate other flap vascu-lar territory were discussed. Average hospitalization day of the flap reconstructed cases were 93 days. Prevention and early surgical management are the goal of treatment.

並列關鍵字

Pressure sore Sacrum Ischium Trochanter Flap Surgery

延伸閱讀


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