耄耋老年人顽固性创面的治疗策略

Treatment strategy for senile patients with intractable wounds

目的探讨耄耋老年人顽固性创面的治疗策略。方法回顾2014年1月至2017年4月火箭军总医院烧伤科收治的56例耄耋老年人顽固性创面患者的治疗过程,总结出此类患者的临床特点,提出治疗策略。结果 56例耄耋老年人顽固性创面患者,按照总结的治疗策略,接受手术治疗15例,治愈33例,好转19例,死亡4例,家属对治疗结果均满意。结论耄耋老年人顽固性创面有其独特的特点,在收治标准、治疗计划的制定、手术方式的选择及护理等方面都要采用不同的策略才能达到满意的治疗结果。

Objective To explore the treatment strategy of senile patients with intractable wounds. Methods From January 2014 to April 2017, 56 senile patients with refractory wounds were treated in our department. The clinical characteristics of these patients were summarized and the treatment strategies were put forward. Results 56 senile patients with refractory wounds received treatment according to our summary of the treatment strategy, 15 cases were treated by surgery, 33 cases were cured, 19 cases were improved, and 4 cases died. The family members were satisfied with the treatment results. Conclusions The senile patients with refractory wounds have their own unique characteristics. Different strategies should be adopted in the aspects of treatment criteria, treatment planning, surgical methods and nursing care to achieve satisfactory results.