50 cases of artery retrograde island flap for finger pulp defect of the patients perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 4 50 cases of artery retrograde island flap for finger pulp defect of the patient’s perioperative nursing [Keywords:] mean artery retrograde island flap pulp defect Perioperative nursing Fingers, the distal skin defects caused by tendon, the exposed phalanx is more common phenomenon in hand surgery, previous surgical methods include simple flap, o-finger flap, abdominal flaps, etc., usually in the lower survival rate, and then two are required second surgery and a long pedicle force posture, often makes the patient feel very uncomfortable [1]. To overcome the above problems, our hospital from January 2003 to January 2008, to refer to artery retrograde island flap to repair 50 cases of volar skin defects of patients, flap survival rate of 98%. Now perioperative observation and nursing care reported as follows. A clinical data 1.1 General Information of this group of 50 patients, male 34 cases, female 16 cases, aged 18 to 56 years (mean 37.2 years). 3 ~ 4h after injury to hospital treatment. Cause of his injuries 28 cases of injury for the crowd rolling, cutting injury in 16 cases, 5 cases of avulsion injuries, burns in 1 case. Skin defect area 1cm * 1cm ~ 3.5cm * 2.5cm. 1.2 Ⅰ -stage repair of treatment outcome, 46 cases of post-Ⅱ -stage repair of skin necrosis in 4 cases. Follow-up 1 to 12 months (mean 6.4 months), flaps survived, flap texture good. Follow-up 40% of the patients are pain-finger flap warm feel, touch. Overall satisfaction with 35 cases, 13 cases satisfied. 2 Perioperative nursing 2.1 Preoperative Care (1) Psychological Care: Psychological nursing care in hand surgery occupy an important position, often due to sudden trauma, the patient in the traumatic physical and psychological stress, often strained, fear, pessimism, despair of the state of mind, these adverse psychological factors may cause postoperative vasospasm, leading to surgical failure, on the other hand, micro-surgery time is longer, in the non-needy patient