28例腹腔开放创面植皮患者的护理  

Nursing care of abdominal wall wounds in 28 patients with open abdomen after skin transplantation

作　　者：李晓婷[1] 刘云[2] 任建安[3] 赵允召[3] 吴莉莉[3] 韩刚[3] 王革非[3] 顾国胜[3] 赵日升[3] 

机构地区：[1]南京中医药大学护理学院,南京市210046 [2]南京军区南京总医院护理部 [3]南京军区南京总医院普通外科研究所

出　　处：《中华护理杂志》2013年第2期113-115,共3页Chinese Journal of Nursing

基　　金：江苏省基础研究计划(自然科学基金)之创新学者攀登项目(编号:BK2010017)

摘　　要：总结了28例腹腔开放患者自体皮肤移植后的创面护理。分阶段评估植皮后第3天、第7天、第21天的创面恢复情况,采用不同的创面护理措施。对创面合并肠瘘的患者,保持引流的有效性,并采取主动引流,避免肠液侵蚀。同时,做好头部供皮区的护理,加强功能锻炼和心理支持。本组27例患者腹壁创面植皮后第21天,皮片覆盖面积超过90%,只有1例未达90%,经过积极的创面护理,最终创面得到修复。This paper summarizes the nursing care of abdominal wall wounds for 28 patients with open abdomen after autologous skin transplantation. Targeted wound care was provided for the patients based on the wound assessment at 3 days, 7 days and 21 days after skin transplantation. For patients complicated by intestinal fistula,active drainage was important to avoid corrosion from intestinal fluid. Moreover,nursing care focused on proper nursing of head skin donor site,functional exercises and psychological support. As a result,the covered size of the abdominal wall wounds by blade of thick skin was over 90% in 27 cases at 21 days after skin transplantation. Only one case was under 90%,but healed ultimately after aetive wound care.

关 键 词：肠瘘 皮肤移植 伤口愈合 护理 

分 类 号：R473.6[医药卫生—护理学]