疮 pressure sores.pptVIP

* 疮 Pressure sores 压 概 念 预防措施 好发部位 临床分期 Definition prevention Common parts Clinical stages 组织坏死。 局部组织因长期受压 而 血液循环障碍, 局部持续缺血 缺氧营养不良 导致 Continuous pressure interruption to the flow of blood Deficiency of oxygen and nutrition 概 念 necrosis of tissue Definition 枕骨粗隆 肩胛骨 肘部 骶尾部 足跟部 Occipital tuberosity 好发部位 Common parts 仰 卧 位 supine position bladebone elbow sacrum heel 肩胛骨 坐骨结节 足跟 脚掌前部 好发部位 坐位 bladebone heel ischial tuberosity front of sole Common parts sitting position 耳廓 肩峰 肋骨 髋骨 股骨粗隆 膝关节内外侧 内外踝 好发部位 侧卧位 Common parts side-lying auricle acromion rib hipbone tuberosity of thighbone both sides of knee joint both sides of ankle 耳廓 面颊 肩峰 肋缘 髂前上棘 膝部 脚尖 好发部位 俯卧位 Common parts prone position auricle visor acromion rib anterior superior iliac spine knee tiptoe Clinical stages I淤血红润期 ---“红、肿、热、痛” How to recognize “red, turgescence, hot,pain, not broken ” not fade within 30 minutes Epidermis Ⅱ炎性浸润期 --- “紫红、硬结、疼痛、水泡” Clinical stages How to recognize “mauve,callosity,pain,blister ” Epidermis, dermis Clinical stages Ⅲ 浅度溃疡期--- 表皮破损、溃疡形成 How to recognize The epidermis is broken. Ulcer turns up. Epidermis, dermis ,subcutaneous fat Clinical stages Ⅳ 坏死溃疡期 How to recognize Epidermis, dermis , subcutaneous fat,muscle,bone dead tissue and drainage are present. prevention 避免局部组织长期受压 Keep pressure off ! Change the persons position every 2 hours Distribute your weight over the maximum surface area Medical measure correctly Avoid friction and shear 保持皮肤清洁卫生 Maintain good hygiene 促进血液循环 Promote circulation Wash with mild soap and water Rinse well Pat dry carefully but gently Keep bed neat Change clothes in time Keep mobile Rub down Laser 改善机体营养状况 Improve nutrition offer diet of enough nutriment offer nutrition by proper methods 健康宣教 education on health common knowledge useful technique 勤观察 勤翻身 勤擦洗 勤按摩 勤整理 勤更换 Reading You may be at risk from pressure sores developin