93例Ⅲ度烧伤患者分段结扎皮瓣早期断蒂的护理  

Nursing care of sectioned skin-flap ligation for early pedicle cut-off in 93 patients with Ⅲ-grade burns

作　　者：林玉丹[1] 黄书润[1] 邱双双[1] 李丽香[1] 沈秋凤[1] 

机构地区：[1]福建省泉州市解放军第180医院烧伤整形科,362000

出　　处：《中华护理杂志》2011年第10期956-957,共2页Chinese Journal of Nursing

摘　　要：对93例接受分段结扎皮瓣早期断蒂的患者进行观察及护理。认为护理要点包括:每次结扎蒂部时均严密观察皮瓣血液循环,特别是结扎后24h内,及时发现问题,并采取积极的处理措施,建立皮瓣情况评估单,预防皮瓣缺血、坏死;结扎时做到耐心沟通,动作轻柔,既保证扎紧蒂部又能减轻患者的疼痛;结扎后加强换药,减少伤口感染及线头反应等并发症;断蒂后尽早行功能锻练。本组平均断蒂时间10d,结扎或断蒂后皮瓣无坏死,随访结果满意。This paper introduces the nursing care of sectioned skin-flap ligation for early pedicle cut-off in 93 patients with Ⅲ-grade bums. During pedicle ligation,nursing care focused on close observation of blood circulation of the skin flap,especially within the 24 hours after ligation,so as to detect and deal with problems as early as possible and prevent ischemia and necrosis of skin flap. Careful and gentle operations to relieve patients＇ pain on the premise of tight ligation. After ligation,the key points were changing dressings timely to prevent wound infection and suture reaction,as well as early functional exercises after pedicle cut-off. The average time of pedicle cut-off in. the 93 patients was 10 days with good therapeutic outcome and without necrosis of skin flap.

关 键 词：外科皮瓣 烧伤 护理 

分 类 号：R473.6[医药卫生—护理学]