足部带蒂岛状皮瓣转移术的护理探讨  

Nursing about the transferring of peduncle island skin flap in foot

作　　者：霍建珊[1] 朱国兴[2] 陈妙霞[1] 危笑珍[1] 

机构地区：[1]中山大学附属第三医院骨科,广州510630 [2]中山大学附属第三医院皮肤性病科

出　　处：《中国实用护理杂志（下旬版）》2006年第3期20-21,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨足部带蒂岛状皮瓣转移术的护理方法。方法对19例足部软组织缺损的患者进行带蒂皮瓣转移术的护理。术前护理包括皮肤护理、个体化心理行为辅导及病室配置。术后护理包括肢体放置、转移区皮瓣的护理、血管危象的观察及护理、正确应用抗凝药、游离取皮区的护理和踝关节功能锻炼。结果18例皮瓣完全成活,1例皮瓣坏死,经Ⅱ期植皮后,皮瓣愈合良好。结论全面精心的临床护理是足部带蒂岛状皮瓣转移术成功的重要保证。Objective To investigate the nursing methods of transferring peduncle island skin flap in foot. Methods Nursing about 19 patients who have undergone the transferring of peduncle island skin flaps because of soft tissue injury in foot. The preoperative nursing included skin nursing, individual psycho- behavior guidance, room allocation. Postoperative nursing included placement of limbs correctly, nursing about the transferring district flaps, observation and nursing the vescular crisis, correct using anticoagulant and functional exercises of ankle - joint. Results There were 18 flaps survived completely, 1 flaps in distal end had partly necrosis, but flap had recovered well after Ⅱ - period skin grafting. Conclusion Overall elaborate clinical nursing can guarantee the survival of the graft peduncle island skin flaps in foot.

关 键 词：足部 岛状皮瓣 转移 护理 

分 类 号：R658.1[医药卫生—外科学] R755[医药卫生—临床医学]