中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
31期
78-80
,共3页
指端缺损%推进皮瓣修复%护理
指耑缺損%推進皮瓣脩複%護理
지단결손%추진피판수복%호리
Fingertip defect%Advancement flap%Nurse
目的：探讨推进皮瓣修复指端缺损患者的护理方法。方法：回顾性分析25例创伤性指端缺损手术患者的护理资料。结果：经积极治疗和精心护理，术后23例皮瓣色泽红润，毛细血管充盈试验正常，成活可靠。2例术后2~3d出现不同程度皮瓣远端局部色泽暗红，予以皮瓣局部部分拆线减张、抬高患肢、保温、活血及抗血管痉挛等处理。其中1例皮瓣全部成活，1例皮瓣仍然少部分坏死，手术再次处理愈合。随访25例，优22例，良3例。结论：加强推进皮瓣修复指端缺损的护理，有利于促进皮瓣愈合，防止并发症的发生，是手术成功的重要保证。
目的：探討推進皮瓣脩複指耑缺損患者的護理方法。方法：迴顧性分析25例創傷性指耑缺損手術患者的護理資料。結果：經積極治療和精心護理，術後23例皮瓣色澤紅潤，毛細血管充盈試驗正常，成活可靠。2例術後2~3d齣現不同程度皮瓣遠耑跼部色澤暗紅，予以皮瓣跼部部分拆線減張、抬高患肢、保溫、活血及抗血管痙攣等處理。其中1例皮瓣全部成活，1例皮瓣仍然少部分壞死，手術再次處理愈閤。隨訪25例，優22例，良3例。結論：加彊推進皮瓣脩複指耑缺損的護理，有利于促進皮瓣愈閤，防止併髮癥的髮生，是手術成功的重要保證。
목적：탐토추진피판수복지단결손환자적호리방법。방법：회고성분석25례창상성지단결손수술환자적호리자료。결과：경적겁치료화정심호리，술후23례피판색택홍윤，모세혈관충영시험정상，성활가고。2례술후2~3d출현불동정도피판원단국부색택암홍，여이피판국부부분탁선감장、태고환지、보온、활혈급항혈관경련등처리。기중1례피판전부성활，1례피판잉연소부분배사，수술재차처리유합。수방25례，우22례，량3례。결론：가강추진피판수복지단결손적호리，유리우촉진피판유합，방지병발증적발생，시수술성공적중요보증。
Objective:To investigate the nursing methods which advance flap to repair fingertip defect. Method:The nursing data of 25 patients after the operation of traumatic fingertip defect were reviewed retrospectively. Result:After active treatment and good care,the flaps in 23 cases survived effectively all showed that the color was ruddy and the capillary filling text was normal. In 2 other cases,the distal end of the flaps turned dark red in different degrees after 2 or 3 days. After taking out stitches in part of the flap to relieve tension,raising the affected limb,insulation,promoting blood and anti-vascular spasm treatment,the flaps survived completely in 1 case. Another one still had partial necrosis before the second operation. 25 cases were follow-up for 4 to 15 months,excellent in 22 cases and good on 3 cases. Conclusion:Reinforcing efforts to push forward the nursing of advancing flap to repair fingertip defect is good to promote skin healing and prevent the complications. It is an important guarantee for the success of operation.
