断指再植术后护理（Postoperative care of finger replantation）.docVIP

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断指再植术后护理（Postoperative care of finger replantation）.doc

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断指再植术后护理（Postoperative care of finger replantation）

断指再植术后护理（Postoperative care of finger replantation） Postoperative care of finger replantation 4.1 master the main indicators of the occurrence of the blood circulation crisis, in order to detect the circulation crisis, we must be familiar with the following indicators: skin temperature, skin color, swelling degree and capillary reflux measurement [5]. 4.1.1 skin temperature: 4.1.1.1 normal value: the skin temperature of replanted finger is between 33 and 35, and the temperature difference is within 2 degrees compared with that of the contralateral finger. Precautions for 4.1.1.2 measurements: (a) electronic thermometer should be measured by location and location observation. (b) the order of measurement, the time of each measurement, and the pressure at the time of measurement are constant. (c) accurate recording so that data can correctly reflect changes in blood circulation. 4.1.1.3 interference factors: A) at room temperature and with the local temperature: digits for the loss of nerve tissue, temperature regulating function loss, easily influenced by the external temperature, especially the local high temperature lamp, the temperature of the skin does not conform to the actual situation. B) exposure time: the replanted tissue is wrapped with a multi-layer gauze pad to keep warm. Once exposed, the skin temperature changes with the environmental temperature. (c) reduction incision: after the reduction of the wound due to the blood circulation crisis, the blood oozing from the tissue can affect the measurement of the skin temperature. 4.1.2 skin color: 4.1.2.1 normal index: the skin color of the replanted finger should be rosy or consistent with the skin color of the uninjured side. Interference factors: A) light: it is more reliable to observe the skin color in natural light. (b) skin pigment: varies with ethnic groups, regions, and individuals. 4.1.3 swelling degree: The normal index: slight swelling, - said; there is swelling, but skin yet exist, with the + said