下肢岛状皮瓣移植患者的护理  

Nursing for patients with transplantation of leg island flap

作　　者：郝淑芹[1] 张一艳[1] 陈辉映[1] 

机构地区：[1]广东省深圳市第二人民医院,518035

出　　处：《中国实用护理杂志（下旬版）》2009年第9期22-23,共2页Chinese Journal of Practical Nursing

摘　　要：目的总结下肢岛状皮瓣移植患者的临床护理特点及注意事项。方法对111例下肢岛状皮瓣移植术患者进行护理观察与随访。结果111例岛状皮瓣移植患者中109例移植皮瓣成活，2例因患足远端血运不佳坏死而截肢。皮瓣成活率98．2％。术后随访1年，移植皮瓣成活患者下肢肢体功能均恢复良好。结论术前充分准备，术后做好体位护理及基础护理，早期发现、及时处理血管危象，是保证移植皮瓣成活的关键。恢复期注重康复指导，正确进行功能锻炼，是保证肢体功能恢复的重要措施。Objective Summarize the clinical nursing keys and experiences for tranplantation of leg island flap. Methods Follow- up 111 patients with transplantation of leg island flap. Results There were 109 patients had accepted survival of island flap, their function of wounded limb were recoveried satisfactory by one-year follow up. There were 2 amputation patients because of disturbance of blood circulation of distal wounded limb. Conclusions Careful perioperative nursing and observation are the keys of survival for tranplantation of leg island flap. Proper rehabilitaiton education can guarantee the satisfactory prognosis.

关 键 词：下肢岛状皮瓣移植 护理 观察 

分 类 号：R622.1[医药卫生—整形外科] R473.73[医药卫生—外科学]