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

1.	金德富,高俊,安建原.四肢大面积皮肤剥脱脱套伤的治疗进展[J].中国中医骨伤科杂志,2012,20(4):70-72.
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6.	孙吉花,于苏国,陈晓琳,等.多学科协作模式在医院感染预防控制中的应用及管理[J].中华医院感染学杂志,2010,20(17):2639-2641.
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9.	陆明,李佳艺,季加孚,等.北京肿瘤医院消化系统肿瘤多学科专家组治疗模式的探索[J].中国实用外科杂志,2012,32(1):73-76.
10.	何雪辉,康利鸽,冯素敏,等.多学科协作护理救治急性心肌梗死患者[J].护理实践与研究,2013,10(1):36-38.
11.	沈焘,李云峰,蔡昕怡.多学科协作模式下的大肠癌诊治进展[J].实用癌症杂志,2011,26(6):680-682.
12.	杜慧敏,蒋晓娟.湿性愈合理念及多学科协作模式在压疮护理中的应用[J].现代医药卫生,2012,28(3):411-412.
13.	冉兴无,赵纪春.加强多学科协作团队建设,提高糖尿病周围血管病变与足病的诊治水平[J].四川大学学报·医学版,2012,43(5):728-733.
14.	陈忠兰,宁宁,邹利群,等.依托于医院的伤口治疗中心运行模式探讨[J].实用医院临床杂志,2011,8(6):216-218.
15.	宁宁,陈忠兰,廖灯彬,等.多学科合作模式在治疗创伤疑难伤口中的作用[J].护士进修杂志,2012,27(17):1544-1546.
16.	焦卫红,蒋海兰,于梅,等.北京市某三级医院住院患者满意度的调查与分析[J].护理管理杂志,2010,10(9):630-632.

1. 金德富,高俊,安建原.四肢大面积皮肤剥脱脱套伤的治疗进展[J].中国中医骨伤科杂志,2012,20(4):70-72.
2. 陈吉平,张勇军,张迪华,等.四肢大面积皮肤脱套伤的治疗体会[J].医学信息·中旬刊,2010,5(2):157-159.
3. 赵继军,崔静.护士在疼痛管理中的作用[J].中华护理杂志,2009,44(4):383-384.
4. 马丽,余丽君.我国运用音乐进行疼痛干预的护理研究现状[J].中华护理杂志,2008,43(3):268-271.
5. 秦新裕.不断规范和提高我国胃癌外科治疗水平[J].中华普外科手术学杂志·电子版,2010,4(2):110-113.
6. 孙吉花,于苏国,陈晓琳,等.多学科协作模式在医院感染预防控制中的应用及管理[J].中华医院感染学杂志,2010,20(17):2639-2641.
7. 曹晖,汪明.多学科合作模式在胃肠间质瘤诊治中的价值与实施[J].中华胃肠外科杂志,2012,15(3):231-233.
8. 蒋艳,周玉萍,李欢.多学科交叉融合病房管理模式探讨[J].护理管理杂志,2011,11(3):213-215.
9. 陆明,李佳艺,季加孚,等.北京肿瘤医院消化系统肿瘤多学科专家组治疗模式的探索[J].中国实用外科杂志,2012,32(1):73-76.
10. 何雪辉,康利鸽,冯素敏,等.多学科协作护理救治急性心肌梗死患者[J].护理实践与研究,2013,10(1):36-38.
11. 沈焘,李云峰,蔡昕怡.多学科协作模式下的大肠癌诊治进展[J].实用癌症杂志,2011,26(6):680-682.
12. 杜慧敏,蒋晓娟.湿性愈合理念及多学科协作模式在压疮护理中的应用[J].现代医药卫生,2012,28(3):411-412.
13. 冉兴无,赵纪春.加强多学科协作团队建设,提高糖尿病周围血管病变与足病的诊治水平[J].四川大学学报·医学版,2012,43(5):728-733.
14. 陈忠兰,宁宁,邹利群,等.依托于医院的伤口治疗中心运行模式探讨[J].实用医院临床杂志,2011,8(6):216-218.
15. 宁宁,陈忠兰,廖灯彬,等.多学科合作模式在治疗创伤疑难伤口中的作用[J].护士进修杂志,2012,27(17):1544-1546.
16. 焦卫红,蒋海兰,于梅,等.北京市某三级医院住院患者满意度的调查与分析[J].护理管理杂志,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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