Hand injuries flap Clinical observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 6 Hand injuries flap Clinical observation and nursing care [Keywords:] hand injury, flap, observation, nursing Flap surgery is a part of a blood supply with a flap of skin and subcutaneous tissue to another site, to repair wounds, deformities and defects of the whole purpose of rehabilitation. Surgical flap with neighbors that, cross-arm flap, thenar muscle flap and pedicled flap repair. hand injury flap is widely used in bone surgery, the skin defects caused by bone exposure and infection, to improve the quality of life of patients after surgery has a positive significance. now reported as follows Nursing. 1 Clinical data 2004 to 2007 a total of 84 patients admitted to our department, aged 13 to 60 years old, were injured due to the machine twist injury, injured by an explosion injuring weight. Emergency line immediately after admission + flap debridement surgery, patients efficacy satisfaction rate of 95%. 2 Preoperative Care 2.1 Psychological care Analysis of postoperative complications according to serious injuries, such as flap survival is not easy, heavy pollution and lead to infection of the wound, in addition to surgery itself requires high risk, once the failure of the formation of new skin defect, the patient to bear a double psychological pressure, in addition to surgery expensive funds and many other reasons, it is particularly important preoperative psychological care. To explain the work and to do all that talking and preparation before surgery. explain the surgical procedure and postoperative complications, need to take care of their families with the good life, to enable patients to actively cooperate with the treatment . Wards for 2.2 Wards clean indoor environment should be disinfected, and maintain appropriate temperature, room temperature is 22 ~ 24 , and the clothing shop with a sterilized. 3 postoperative care Patients do return to normal after the basic nursing wards, with emphasis on