中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
18期
134-135
,共2页
多指离断%断指再植术%血管危象%预防%护理
多指離斷%斷指再植術%血管危象%預防%護理
다지리단%단지재식술%혈관위상%예방%호리
Multi finger amputation%Replantation of severed finger%Vascular crisis%Prevention%Nursing
目的：探讨多手指离断再植术后出现血管危象的情况以及预防、护理措施。方法：收治多手指离断患者267例(624指)，均在臂丛或全麻下行多手指断指再植术，术后观察血管危象情况，积极预防其发生并采取相应的护理措施。结果：267例患者中，出现血管危象35例(51指)，经过严密的护理措施后，29指解除血管危象，指端血运恢复；17指再次行手术探查，经积极处理后血运恢复正常；5指经手术后仍未解除血管危象，后行残端修整术。结论：血管吻合的质量、术前术后的护理措施是预防血管危象发生的基础，术后严密观察患指血运，早发现、早治疗是解除血管危象的关键。
目的：探討多手指離斷再植術後齣現血管危象的情況以及預防、護理措施。方法：收治多手指離斷患者267例(624指)，均在臂叢或全痳下行多手指斷指再植術，術後觀察血管危象情況，積極預防其髮生併採取相應的護理措施。結果：267例患者中，齣現血管危象35例(51指)，經過嚴密的護理措施後，29指解除血管危象，指耑血運恢複；17指再次行手術探查，經積極處理後血運恢複正常；5指經手術後仍未解除血管危象，後行殘耑脩整術。結論：血管吻閤的質量、術前術後的護理措施是預防血管危象髮生的基礎，術後嚴密觀察患指血運，早髮現、早治療是解除血管危象的關鍵。
목적：탐토다수지리단재식술후출현혈관위상적정황이급예방、호리조시。방법：수치다수지리단환자267례(624지)，균재비총혹전마하행다수지단지재식술，술후관찰혈관위상정황，적겁예방기발생병채취상응적호리조시。결과：267례환자중，출현혈관위상35례(51지)，경과엄밀적호리조시후，29지해제혈관위상，지단혈운회복；17지재차행수술탐사，경적겁처리후혈운회복정상；5지경수술후잉미해제혈관위상，후행잔단수정술。결론：혈관문합적질량、술전술후적호리조시시예방혈관위상발생적기출，술후엄밀관찰환지혈운，조발현、조치료시해제혈관위상적관건。
Objective:To explore the prevention and nursing of vascular crisis after multi finger replantation.Methods:267 patients(624 fingers) with multi finger amputation were selected.They were given multi fingers replantation of amputated fingers in brachial plexus or general anesthesia.After operation,we observed the situation of vascular crisis,actively prevented the occurrence and made corresponding nursing measures.Results:In 267 patients,35 cases(51 fingers) had vascular crisis.After rigorous nursing measures,vascular crisis in 29 fingers were eliminated,finger tip blood supply was restored,17 fingers was again given operation exploration.After active treatment,the blood supply was restored to normal,vascular crisis in 5 fingers did not be eliminated after operation,then they were given stump revision.Conclusion:The quality of vascular anastomosis,preoperative and postoperative nursing measures were the basises for the prevention of vascular crisis.After operation,we should closely observe the blood circulation of wounded fingers.Early detection and early treatment were the keys to relieve vascular crisis.
