足部带蒂岛状皮瓣转移术的护理探讨.pdfVIP

• 20 • 中国实用护理杂志 2006 年3 月 21 日第 22 卷第 3 期下旬版 Clûn 1 Prac Nu邸.March 2 1th 2创始. VoI. 22. No. 3C ·外科护理· 足部带蒂岛状皮瓣转移术的护理探讨 霍建珊朱国兴陈妙霞危笑珍 {摘斑} 阔的 探讨足部帮帮岛状皮瓣转移术的护理方法。方法对 19 倒足部软组织缺捆 的患者进行带蒂皮瓣转移术的护理。术前护理制措皮肤护理、个体化心理行为辅导及病蜜配置。 术后护理制措肢体放置、转移脏皮瓣的护理、血管低象的观察及护理、正确应用抗凝药、游离取皮 脏的护王盟和躁关节功能锻炼。结果 18 例皮瓣完全成擂，1 例皮瓣坏死，经E 期樵皮脂.皮瓣愈合 良好。缔论 全面精心的临床护理是足部带蒂岛状皮瓣转移术成功的重要保证。 {关键诩] 足部; 岛状皮瓣; 转移; 护理 Nursir嗯 about the tra皿fening of 酬~uncle isl幽td skin flap in f，ωt HUQ]ian呐棚， ZHU Gwr xing , CHEN Miao-x叩， WEI X iao-zhen. orth。如edics Deμrtment of the Third Affiliated Hos户ital ， Sun Yat …加1 Uníversíty. Guang.功。u 510630. China [Abstract] 伽~ective T 0 investigate the nursing methods of transferring peduncle island skin flap in f，∞t. Meth叫s Nursing about 19 patienωwho have under苞pne the transferring of peduncle is偏 land skin fla阳 because of 80ft tissue injury in foot. The preo阳西tive nursing included skin nursi吨， ind卜 vidual psyc协… behavior 阴idance. room allocation. pωtoperative， nursing included placement of limbs ∞ηectly， nursing about the transf，臼ring district flal=邸， observation and nursing the vescular cris邸，∞r­ rect using anticoa阴lant and functional exercises of ankle 一 joint. R酬Jts 丁here were 18 fla归自ur­ vived completely , 1 flal=附 in distal end had partly necrosis. but flap had recovered well after II - period skin grafting. Conclusioo Overall elaborate c1inical nursing can 职larant优 the survival of the graft pe- duncle island skin fla阳 in f，∞Ì. [Keyw耐s] Foot; Island 剥n flap; Tran如ri附 Nursi咱 随着显微外科的迅速发展，足部带蒂岛状皮瓣转移技术 包固定，大腿取皮区敷料加压包扎，石膏固定躁关节以使皮 日成为局部软组织修复的最佳选择，国外Duffy 町 Jr 等川应 瓣兔子牵拉受动。 用此方法成功修复了 10 例足躁部软组织缺损，国内亦有类 3. 结果。本组 18 例皮瓣宽全成活，1 例皮瓣坏死，需行 似相关报道[刻。 2∞4 年 3 月… 2005 年 7 月，我院远用该技