推进皮瓣修复指端缺损25例的护理体会  

Nursing Experience of Advancement Flap to Repair 25 Cases of Fingertip Defect

作　　者：芮春梅[1] 

机构地区：[1]江苏省泰州市第三人民医院,江苏泰州225321

出　　处：《中国医学创新》2014年第31期78-80,共3页Medical Innovation of China

摘　　要：目的：探讨推进皮瓣修复指端缺损患者的护理方法。方法：回顾性分析25例创伤性指端缺损手术患者的护理资料。结果：经积极治疗和精心护理，术后23例皮瓣色泽红润，毛细血管充盈试验正常，成活可靠。2例术后2~3d出现不同程度皮瓣远端局部色泽暗红，予以皮瓣局部部分拆线减张、抬高患肢、保温、活血及抗血管痉挛等处理。其中1例皮瓣全部成活，1例皮瓣仍然少部分坏死，手术再次处理愈合。随访25例，优22例，良3例。结论：加强推进皮瓣修复指端缺损的护理，有利于促进皮瓣愈合，防止并发症的发生，是手术成功的重要保证。Objective：To investigate the nursing methods which advance flap to repair fingertip defect. Method：The nursing data of 25 patients after the operation of traumatic fingertip defect were reviewed retrospectively. Result：After active treatment and good care,the flaps in 23 cases survived effectively all showed that the color was ruddy and the capillary filling text was normal. In 2 other cases,the distal end of the flaps turned dark red in different degrees after 2 or 3 days. After taking out stitches in part of the flap to relieve tension,raising the affected limb,insulation,promoting blood and anti-vascular spasm treatment,the flaps survived completely in 1 case. Another one still had partial necrosis before the second operation. 25 cases were follow-up for 4 to 15 months,excellent in 22 cases and good on 3 cases. Conclusion：Reinforcing efforts to push forward the nursing of advancing flap to repair fingertip defect is good to promote skin healing and prevent the complications. It is an important guarantee for the success of operation.

关 键 词：指端缺损 推进皮瓣修复 护理 

分 类 号：R473.6[医药卫生—护理学]