负压封闭引流(VSD)技术治疗皮肤严重毁损伤患者的护理.pdfVIP

CHINESE COMMUN阿YDOCTORS 护理论著 负压封闭引流(VSD)技术治疗皮肤严重毁损伤患者的护理 张艳芬李艳 625100 四川雅安市名山区人民医院外二科 doi: 1 0.3969/j.issn. 1∞7-614x.2014.3.81 摘 要 目的:探讨负压封闭引流(VSD)技术治疗皮肤严重毁损伤患者的护理方法。方法:采用VSD装直植入术治疗 下肢皮肤严重毁损伤患者5 例，回顾临床资料及护理效果。结果: 51列创面经VSD技术治疗后， i1Ji画愈合良好，无护 理并发症。结论: VSD技术在骨科应用护理重点:术前护理包括评估患者健康状况，做好心理护理，备皮、备血及术 前用药;术后护理包括监测生命体征，持续负压吸引及保持引流管通畅，观察引流液及掌握引流瓶的处理，观察患肢 末端血运情况，常见故障的排除，及对患者和家属有效的健康教育。 关键词 负压封闭引流皮肤严重毁损伤患者护理 Nursing of severe skin damage patients treated with Vacuum sealing drainage (VSD) Zhang YanI町，Li Yan Second Depm白nent o[ surgezy o[Mingshan District Peoples Hospital o[ 1γan City,Sichuan Province， 6251ω Abstract Objective:To explore tbe nursing of severe skin damage patients treated with Vacuum sealing drainage(VSD).Me由叫s: The clinical datas and nursing efficacy of 5 cases with severe skin damage treated witb Vacuum sealing drainage were retrospectively analysed.Results:In 也e 5 patients treated with Vacuum sealing draina伊，tbe wound healed well and tbere were no nursing complications.Conclusion:The nursing key of application of VSD technology in the Department of orthopedics: Preoperative nursing included 凶sessment of the health status of the patients ,psychological nur百i吨，skin and blood preparation and preoperative medication;Nursing after operation included monitoring of vital signs,continuous negative pressure suction and drainage tube patency ,observing drainage and the master of processing of drainage bottle ,observing the limb end blood supply ,the exclusion of common faults and effective health education on tbe patients and their families. Key words Vacuum sealing drainage;Serious skin damage;Patient care VSD 是一种全方位、高效的引流方 的VSD一块覆盖创面，使其充分与创面 不明白的地方，要耐心解答，努力消除他 法，因其是在一个密闭的系统内进行， 完全接触，将VSD边缘与皮肤间断缝合 们的疑虑，使他们能够积极主动的配合手 负压吸引使引流区的渗出物和坏死组织 达到固定的目的。贴膜、连接负压源: