自体肌瓣填塞术治疗胸部手术后慢性难治性脓胸的护理  

作　　者：胡宁宁[1] 林炳远[1] 何忠良[1] 刘志军[1] 郭巧英[1] 沈立峰[1] 

机构地区：[1]浙江省立同德医院,310012

出　　处：《浙江临床医学》2020年第7期1061-1062,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2016KYA057,2013KYB064)。

摘　　要：回顾性分析16例自体肌瓣填塞术治疗胸部手术后慢性难治性脓胸的围手术期护理及并发症观察.其中1例患者,因发生血管危象导致肌瓣坏死,手术失败;其余15例患者,均痊愈出院.总结得出术前要充分准备,包括患者的营养支持,脓腔的清创引流,术前体位宣教;术后重点要做好体位护理,保持患肢持续外展60~90°,避免血管蒂部扭曲、折叠或牵拉,是预防血管危象发生的重要护理措施,也是肌瓣存活、手术成功的关键.To review the perioperative nursing and complications of 16 patients with chronic refractory empyema after thoracic surgery treated by autologous muscle flap tamponade.Among them,one patient suffered from necrosis of muscle flaps due to vascular cnsis,and the other 15 patients were discharged from hospital.It concluded that adequate preoperative preparation including nutritional support of patients,debridement and drainage of pus cavity,pre-operative posture education.The postural nursing,continuous abduction of affected limbs at 60~90 degrees after operation,and avoidance of twisting,folding or pulling of vascular pedicle are important nursing measures to prevent the occurrence of vascular crisis and also the key to the survival of muscle flap and the success of operation.

关 键 词：慢性脓胸 肌瓣 护理 

分 类 号：R47[医药卫生—护理学]