头皮扩张术治疗瘢痕性秃发的护理  

NURSING OF SCAR BALDNESS TREATED WITH SCALP EXPANDING

作　　者：莫惠霞[1] 吕炎英[1] 陆桂花[1] 梁银连[1] 何红梅[1] 廖倩芳[1] 

机构地区：[1]肇庆市第一人民医院,广东肇庆526021

出　　处：《现代医院》2009年第8期88-89,共2页Modern Hospitals

摘　　要：目的探讨头皮扩张术治疗瘢痕性秃发的围手术期护理,防止并发症,确保治疗取得成功。方法对12例烧伤后头皮瘢痕性秃发行皮肤扩张器埋置术的患者,加强心理护理,充分做好术前准备,术后密切观察扩张器埋置部位皮瓣的血运情况,加强引流管道的护理,保持引流液管道通畅,防止并发症的发生。结果12例患者全部扩张皮瓣成活,手术成功。扩张后的头皮软组织修复瘢痕性秃发效果满意。结论密切观察扩张器埋置皮瓣的血运情况及细心做好引流管道的护理是头皮扩术治疗瘢痕性秃发成功的关键。Objective To explore the peri - operative nursing to patients of sear baldness treated with scalp expanding, to make sure the operation go on successfully, preventing complications. Methods Enhancing psychological nursing to 12 cases with scalp cicatricial baldness following burn which have had the skin expander embedded operation, well preparation before operation and dose observation of blood supply situation of the flap where skin expander was embedded, good nursing care for draining tract, keeping fluid drainage tube patency, preventing complications. Results The expanded flap of all patients of the 12 cases had survived. The operations was successful. The repairing effects of expanded scalp soft tissue on scar baldness were satisfactory. Conclusion Close observation of blood supply of the flap where expander was embedded and good nursing care for draining tract are the keys to the success of scalp expander embedmcnt operation and repair of scar baldness.

关 键 词：头皮扩张术 瘢痕性秃发 护理 

分 类 号：R473.6[医药卫生—护理学] R758.71[医药卫生—临床医学]