CAJ | 학술논문

总结游离股前外侧皮瓣移植修复下肢组织缺损术后72 h 皮瓣的护理要点。方法对160例外伤致下肢软组织缺损患者采用游离股前外侧皮瓣移植，术后72 h 内配合做好皮瓣护理工作。结果160例游离股前外侧移植皮瓣修复下肢组织缺损患者移植皮瓣全部成活，术后72 h 内12例患者出现血管危象，经对症处理后均愈合。结论行游离股前外侧皮瓣移植修复下肢皮肤组织缺损术患者，术后72 h 内应加强皮瓣观察及护理，做好术前后心理护理，疼痛护理及健康指导工作等，其是保证皮瓣成活的重要因素。
총결유리고전외측피판이식수복하지조직결손술후72 h 피판적호리요점。방법대160예외상치하지연조직결손환자채용유리고전외측피판이식，술후72 h 내배합주호피판호리공작。결과160례유리고전외측이식피판수복하지조직결손환자이식피판전부성활，술후72 h 내12례환자출현혈관위상，경대증처리후균유합。결론행유리고전외측피판이식수복하지피부조직결손술환자，술후72 h 내응가강피판관찰급호리，주호술전후심리호리，동통호리급건강지도공작등，기시보증피판성활적중요인소。
Objective To summarize the strategies for nursing of skin flaps after 72 hours' transplantation of femoral skin flap for repairing soft tissue defect in lower extremity.Method One hundred and sixty trauma patients with lower extremity soft tissue defect underwent transplantation of femoral skin flap for repairing.The skin flaps were nursed within 72h after transplantation.Results The skins flaps in 160 patients receiving to repair tissue defect of lower limbs all survived.Within 72 hours after operation, 12 patients suffered from vascular crisis, which were cured after pertinent treatment.Conclusions For the patients receiving to repair tissue defect, the skin flaps should be carefully nursed. Meanwhile, preoperative psychological nursing, postoperative pain nursing and health education are critical for the survival of skin flaps.