妇产科腹部手术切口脂肪液化临床研究及护理.docVIP

妇产科腹部手术切口脂肪液化临床研究及护理【摘要】目的：研究分析妇产科腹部手术后出现切口脂肪液化并发症的原因，并针对发病原因提出相应的护理策略和方法。方法：对我院2009年1月-2011年1月收治的妇产科腹部手术术后并发切口脂肪液化患者32例，对其发病原因及护理方法等临床资料进行回顾性分析。结果：患者的发病原因主要有：肥胖、妊娠期水肿、糖尿病、手术使用高频电刀等，这些因素提升了患者腹部手术后切口脂肪液化的发病率；经我院进行相关治疗后全部痊愈出院，无感染病例；结论：对于妇产科腹部手术切口脂肪液化的病例处理时应遵循早发现，早处理的原则。通过对高危因素进行合理的预防及发病后及时有效地处理，可以明显降低疾病发生率，促进切口愈合。 【关键词】妇产科手术；腹部切口；脂肪；液化The analysis and attendance of abdominal incision fat liquefaction in department of gynecology and obstetrics 【Abstract】 Objective: To study the obstetrics and Gynecology abdominal operation incision fat liquefaction after the causes of complications, and to cause to put forward corresponding nursing strategies and methods. Methods: in our hospital from 2009 January to 2011 January were obstetrics abdominal operation complicated with postoperative incision fat liquefaction in 32 cases, the causes and nursing methods the clinical data were retrospectively analyzed. Results: patients were the main reasons are: obesity, diabetes, gestational edema, operation using high frequency electricity knife, these factors promote the patients after abdominal operation incision fat liquefaction of incidence; the related treated and cured, no case of infection; Conclusion: for obstetrics and Gynecology abdominal operation incision fat liquefaction cases treatment should follow the early discovery, early treatment principle. The high risk factors of reasonable prevention and morbidity after timely and effective treatment, can significantly reduce the incidence of disease, and promote wound healing. 【Keywords】 gynecologic surgery ,Abdominal incision, adipose, liquefaction【中图分类号】R452【文献标识码】B【文章编号】1004-5511（2012）06-0341-01切口脂肪液化是妇产科腹部手术常见的并发症，如不及时治疗将引发感染，甚至可以危及患者生命。我院对2009年1月-2011年1月收治的32例妇产科腹部手术后切口脂肪液化的患者的病历资料进行研究，对其引发因素及护理方法进行研究，取得了一定的成果，现将研究过程及相关数据简介如下。 1资料与方法 1.1一般资料： 32例患者经确诊均为腹部手术后切口发生脂肪液化而入院治疗，患者年龄在22-48岁之间，平均年龄28.6岁；按手术类型分类：妇科手术9例，剖宫产23例；按手术切口分类：纵切21例，横切11例；患者病程在4-11天之间，平均病程6.4天；临床症状：患者手术后均未出现高热、切口红肿等明显症状，在术后伤口换药过程中出现切口处渗出淡黄色液体。伤口观察，伤口愈合