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1概念1.1压疮是皮肤或皮下组织由于压力、或者压力混合剪切力及/或摩擦力作用引起局部损伤,常发生在骨隆突处(美国压疮指导委员会)。1.2由于身体局部组织长期受压,血液循环障碍,局部组织持续缺血、缺氧,营养缺乏,致使皮肤失去正常功能而引起的组织破损和坏死,也称压力性溃疡(国内基础护理学)。2压疮的国际分期2.1可疑深部组织期:皮下组织受到压力或剪切力的损害,局部皮肤完整但可出现颜色改变如紫色或褐紫红色,可能有
1 Concept 1.1 Pressure ulcer is the skin or subcutaneous tissue due to pressure, or pressure mixed shear and / or friction caused by local injury, often occurs in the Department of bone protuberance (American pressure ulcer Steering Committee). 1.2 As the body part of the long-term pressure on the organization, blood circulation disorders, local tissue persistent ischemia, hypoxia, lack of nutrition, resulting in loss of normal skin function caused by tissue damage and necrosis, also known as pressure ulcers (basic nursing). 2 International Classification of Pressure Ulcers 2.1 Suspected Deep Tissue Period: Subcutaneous tissue is damaged by pressure or shear stress. Partial skin is intact but may undergo color changes such as purple or maroon, possibly with