断指再造（Finger reconstruction）.docVIP

断指再造（Finger reconstruction） After the finger surgery, routine care is also very important, below we provide you with professional finger reconstruction nursing common sense: The 1. ward conditions and patient room temperature should be maintained at 20 to 25 DEG C. Partial available 40W light, from the injury refers to the distance 40cm irradiation. This method can increase the local temperature. The patient should stay in bed for 7 to lOd, and raise the affected limb to facilitate the venous return. 2. the key to the survival of amputated finger is to master the microsurgical technique of vascular anastomosis. Drug use is only an auxiliary method to improve patency rate of anastomotic vessels. (1): anti ulcer, esophageal varices, subcutaneous ecchymosis usually have a history of bleeding or bleeding, do not use anticoagulant drugs, treatment monitoring. Commonly used anticoagulant drugs are: Low molecular dextran is a polysaccharide with an average molecular weight of 20 thousand to 40 thousand Da. Because of the small molecular weight, it is easy to be excreted from urine, and the volume of blood is expanded by about 3h, and it has the function of anti thrombus and improving microcirculation. Can be 500ml intravenous drip, 2 times a day. Some patients are more sensitive to low molecular dextran. After local wounds, there will be obvious oozing of blood, which can be used in reduced doses. (2) antispasmodic: small vascular spasm can be caused by pain, cold, sympathetic nerve stimulation or intraoperative mechanical stimulation of the adventitia, causing contraction of vascular smooth muscle. The common way to relieve spasm is to relieve pain, increase room temperature and supplement blood volume. The drug is mainly used 30mg narceine spasmolysis, intramuscular injection, 4 times a day; or 3% papaverine hydrochloride subcutaneous injection, each 30 to 60mg every 6 hours; tolazoline 25mg, intramuscular injection, 3 times a day. (3) antibacterial: because of the long