足趾瓦合皮瓣修复手外伤术后血循环观察及早期血管危象的护理  

Blood Circulation Monitoring and Blood Vessel Crisis Nursing after Repairing Hand Injury by Combined Toes Flap at Early Stage

作　　者：潘姚秀[1] 胡小琳[1] 薛扬[1] 

机构地区：[1]江苏省无锡市手外科医院,无锡214062

出　　处：《中国医药导刊》2009年第8期1372-1373,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:总结21例双侧足趾皮瓣瓦合一期修复多手指脱套伤的血液循环观察及早期血管危象的应急处理方法。方法:掌握观察原则、了解血循环特点、掌握观察要点。早期血循环危象的应急处理:静脉受压、动脉痉挛、动脉栓塞的处理,注意血管危象的多发时间。结果:本组皮瓣全部成活,5例出现血管危象的早期,及时处理后恢复正常血液循环。结论:掌握血循环观察方法是基础,及时发现和处理早期血管危象是护理的关键。Objection： To summarize the emergency methods of blood circulation monitoring and blood vessel crisis nursing after repairing fingers avulsion injury by combined toes flaps in one stage in 21 cases. Methods： To mastery monitoring principle and to know blood circulation character and to mastery monitoring point. The emergency disposal of blood circulation crisis in early stage： disposal for vein oppression, artery spasm and artery embolism, pay attention to the predilection time of vessel crisis. Result： The flaps were all survived, 5 cases recovered normal blood circulation after blood crisis treated in early stage. Conclusion： To master file method of observe blood circulation is foundation; The key point is to find and treat early vessel crisis in time.

关 键 词：外科皮瓣 手术后医护 手损伤 

分 类 号：R473.6[医药卫生—护理学]