颞浅动脉额支岛状皮瓣修复眼睑大部全层缺损患者的护理  

Nursing for patients with blepharocoloboma reconstruction with island flap of frontal branch of superficial temporal artery

作　　者：许玮[1] 陈惠芳[1] 汪轶蓓[1] 毕晓萍[1] 

机构地区：[1]上海交通大学医学院附属第九人民医院眼科,200011

出　　处：《中国实用护理杂志（中旬版）》2008年第5期46-48,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨颞浅动脉额支岛状皮瓣修复眼睑大部全层缺损的围手术期护理，评价护理措施的有效性。方法回顾性总结5例以颞浅动脉额支岛状皮瓣修复重度全层眼睑缺损患者的围手术期护理经验。术前除常规护理外，还特别注意对患者进行心理护理。针对手术的特殊性，术后仔细观察皮瓣生长情况，及时发现问题并进行处理。结果术后5例患者中，4例患者皮瓣完全存活，1例患者皮瓣基底存活，表皮坏死。存活皮瓣色泽和质地近似邻近的皮肤，有效保护眼球，无一例发生严重眼表疾患。结论术前有效的心理护理和健康指导，术后皮瓣的严密观察和护理是保障手术成功的关键。Objective To evaluate the perioperative nursing and its efficacy in the blepharocoloboma reconstruction with island flap of frontal branch of superficial temporal artery. Methods A retrospective nursing experience was summarized in 5 patients undergoing blepharocoloboma reconstruction with island flap of frontal branch of superficial temporal artery. We paid attention to the mental nursing of patients besides the routine nursing.The growth of skin flap was scrupulously oberved and gave selective disposal when untoward problems occurred. Results The skin flap survived in four cases and epidermis necrosis with flap basis survive took place in one case.The color and quality of survived skin flap was similar to adjacent skin which could effectively protect eyeballs.No severe complications occurred. Conclusions Effective mental nursing and health instruction before operation and careful observation and nursing of skin flap after operation proved to be pivotal for successful operation.

关 键 词：眼睑缺损 颞浅动脉额支岛状皮瓣 护理 

分 类 号：R686.05[医药卫生—骨科学] R473.6[医药卫生—外科学]