Multidisciplinary Collaboration for the Treatment of One Patients with Lower Extremity Degloving Injury_West China Medical Journal

Authors：

 LüSu-jun ,  GUOYu-yan , SUNLi-fang

Department of Neurosurgery, the First Hospital of Baoding City, Baoding, Hebei 071000, P. R. China;

Corresponding?author：

GUOYu-yan, Email: gyy3108@163.com

Keywords：

Multidisciplinary collaboration; Lower limbs; Treatment

DOI：

10.7507/1002-0179.20140496

Video：

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Objective To investigate multidisciplinary collaborative role in the treatment of patients with lower extremity degloving injury. Methods The wound therapy group and the Department of Orthopedics, Nutrition, and Psychology, and the Pain Clinic and Rehabilitation team collaboratively carried out the comprehensive intervention for a patient with lower extremity degloving injury in March 2013 in our hospital. The wound therapist was responsible for correct evaluation, debridement, infection control, maintaining moisture balance, and protecting wound edges of the skin; The wound team members were responsible for the entire treatment and healing process in the form of text and photos; Department of Orthopedics was responsible for secondary skin graft; Nutrition division was responsible for the correction of anemia in patients with hypoalbuminemia; Psychological service was responsible for psychological counseling as treatment accident sometimes brought psychological trauma; Pain outpatient service was responsible for consultation, formulating specific plans to control and relieve the patient's pain, and promote the patient's physical and mental rehabilitation process; Rehabilitation division was responsible for the guidance of patients on lower limb function exercise, prevention of knee joint rigidity, muscle stiffness, to promote the functional recovery of lower limbs. Results The patient's wound was healed completely without scar or joint contracture. Function of lower limbs recovered to normal. Patients was very satisfied to the treatment, and had a total full recovery of body and mind, and returned to the family and society. Conclusion Multidisciplinary collaboration treatment for patients with lower extremity degloving injury can ease pain, eliminate psychological barriers, promote wound healing, and maintain the limb function.

Citation： LüSu-jun, GUOYu-yan, SUNLi-fang. Multidisciplinary Collaboration for the Treatment of One Patients with Lower Extremity Degloving Injury. West China Medical Journal, 2014, 29(9): 1615-1618. doi: 10.7507/1002-0179.20140496 Copy

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10.	何雪輝,康利鴿,馮素敏,等.多學科協作護理救治急性心肌梗死患者[J].護理實踐與研究,2013,10(1):36-38.
11.	沈燾,李云峰,蔡昕怡.多學科協作模式下的大腸癌診治進展[J].實用癌癥雜志,2011,26(6):680-682.
12.	杜慧敏,蔣曉娟.濕性愈合理念及多學科協作模式在壓瘡護理中的應用[J].現代醫藥衛生,2012,28(3):411-412.
13.	冉興無,趙紀春.加強多學科協作團隊建設,提高糖尿病周圍血管病變與足病的診治水平[J].四川大學學報·醫學版,2012,43(5):728-733.
14.	陳忠蘭,寧寧,鄒利群,等.依托于醫院的傷口治療中心運行模式探討[J].實用醫院臨床雜志,2011,8(6):216-218.
15.	寧寧,陳忠蘭,廖燈彬,等.多學科合作模式在治療創傷疑難傷口中的作用[J].護士進修雜志,2012,27(17):1544-1546.
16.	焦衛紅,蔣海蘭,于梅,等.北京市某三級醫院住院患者滿意度的調查與分析[J].護理管理雜志,2010,10(9):630-632.

1. 金德富,高俊,安建原.四肢大面積皮膚剝脫脫套傷的治療進展[J].中國中醫骨傷科雜志,2012,20(4):70-72.
2. 陳吉平,張勇軍,張迪華,等.四肢大面積皮膚脫套傷的治療體會[J].醫學信息·中旬刊,2010,5(2):157-159.
3. 趙繼軍,崔靜.護士在疼痛管理中的作用[J].中華護理雜志,2009,44(4):383-384.
4. 馬麗,余麗君.我國運用音樂進行疼痛干預的護理研究現狀[J].中華護理雜志,2008,43(3):268-271.
5. 秦新裕.不斷規范和提高我國胃癌外科治療水平[J].中華普外科手術學雜志·電子版,2010,4(2):110-113.
6. 孫吉花,于蘇國,陳曉琳,等.多學科協作模式在醫院感染預防控制中的應用及管理[J].中華醫院感染學雜志,2010,20(17):2639-2641.
7. 曹暉,汪明.多學科合作模式在胃腸間質瘤診治中的價值與實施[J].中華胃腸外科雜志,2012,15(3):231-233.
8. 蔣艷,周玉萍,李歡.多學科交叉融合病房管理模式探討[J].護理管理雜志,2011,11(3):213-215.
9. 陸明,李佳藝,季加孚,等.北京腫瘤醫院消化系統腫瘤多學科專家組治療模式的探索[J].中國實用外科雜志,2012,32(1):73-76.
10. 何雪輝,康利鴿,馮素敏,等.多學科協作護理救治急性心肌梗死患者[J].護理實踐與研究,2013,10(1):36-38.
11. 沈燾,李云峰,蔡昕怡.多學科協作模式下的大腸癌診治進展[J].實用癌癥雜志,2011,26(6):680-682.
12. 杜慧敏,蔣曉娟.濕性愈合理念及多學科協作模式在壓瘡護理中的應用[J].現代醫藥衛生,2012,28(3):411-412.
13. 冉興無,趙紀春.加強多學科協作團隊建設,提高糖尿病周圍血管病變與足病的診治水平[J].四川大學學報·醫學版,2012,43(5):728-733.
14. 陳忠蘭,寧寧,鄒利群,等.依托于醫院的傷口治療中心運行模式探討[J].實用醫院臨床雜志,2011,8(6):216-218.
15. 寧寧,陳忠蘭,廖燈彬,等.多學科合作模式在治療創傷疑難傷口中的作用[J].護士進修雜志,2012,27(17):1544-1546.
16. 焦衛紅,蔣海蘭,于梅,等.北京市某三級醫院住院患者滿意度的調查與分析[J].護理管理雜志,2010,10(9):630-632.

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West China Medical Journal

Multidisciplinary Collaboration for the Treatment of One Patients with Lower Extremity Degloving Injury

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