穿支皮瓣修复手足部创面的术后护理.docVIP

精品论文 参考文献 穿支皮瓣修复手足部创面的术后护理 董翠明（商丘市第一人民医院分院，手足外二病区 河南商丘 476100） 　　【摘要】目的 ：研究分析穿支皮瓣修复手足部创面的术后护理对策。方法： 选取我院2012 年11 月-2014 年11 月收治的手足部软组织缺损行穿支皮瓣修复术患者60 例，所有患者均给予有效、全面、针对性的术后护理，主要内容包括密切观察患者皮瓣血运以及疼痛护理、药物护理、并发症护理等。结果： 所有患者中，3 例修复足部皮瓣远端足底反叠边缘出现少许坏死，换药后瘢痕愈合；2 例患者术后1 周发生创面局部感染，通过据不拆线引流，给予敏感抗生素及换药处理后愈合。随访1 年，所有皮瓣均完全成活，皮瓣色泽红润，皮肤组织弹性较好，外形满意，未出现溃疡和严重瘢痕挛缩。结论 ：密切观察患者病情变化，给予及时的处理措施和针对性疼痛护理、药物护理、并发症护理能够有效促进患者创面愈合，降低并发症发生率，值得推广。 　　【关键词】穿支皮瓣修复；手足部创面；术后护理【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2015）08-0022-02Perforators flap to repair the wound of hand, foot and postoperative nursingDong Cuiming (shangqiu first peoples hospital branch, brothers two ward Henan shangqiu, 476100)[abstract] : objective: to study the analysis of perforators flap to repair the wound of hand, foot and postoperative nursingcountermeasures. Selection methods: our hospital in November 2012 - November 2014 foot soft tissue defect in the line of 60 patientswith perforators flap repair, all patients were given postoperative nursing care of effective and comprehensive, targeted, mainlyincludes the skin flap blood supply were observed closely and pain nursing, medication nursing, complication nursing, etc. Results: allpatients, 3 cases of repair distal plantar foot flap the fold edge appears a little necrosis, scar healing after dressing change; Localinfection occurred in 2 patients in postoperative 1 week wounds, through according to not remove the drainage, sensitive antibioticsand healing after treatment process. Follow-up of 1 year, all flaps survived completely, flap, colour and lustre is ruddy skin tissuehas good elasticity, satisfactory appearance, does not appear ulcer and severe scar contracture. Conclusion: close observation ofpatients, give timely treatment and pain nursing, medication nursing, complication nursing can effectively promote patients withwound healing, reduce the incidence of complications, worthy of promotion.Key words: perforators flap; Foot wound; Postoperative nursing 　　伴随皮瓣外科技术的不断进步和完善，其对于