头皮恶性肿瘤术后大面积头皮缺损修复手术护理配合的探讨  

Discussion on Nursing Cooperation in the Repairing Operation with Large Area Scalp Defection after Malignant Tumor

作　　者：吴丽珍[1] 展望[2] 高飞 陈运完[1] 陈燕曼 WU Li-zhen;ZHAN Wang;GAO Fei;CHEN Yun-wan;CHEN Yan-man(Operating Room,Hainan Provincial People’s Hospital(Hainan Hospital Affiliated to Hainan Medical Colleage),Haikou 570311,Hainan,China;Department of Plastic and Aesthetic Surgery,Hainan Provincial People’s Hospital(Hainan Hospital Affiliated to Hainan Medical Colleage),Haikou 570311,Hainan,China)

机构地区：[1]海南省人民医院(海南医学院附属海南医院)手术室,海南海口570311 [2]海南省人民医院(海南医学院附属海南医院)整形美容外科,海南海口570311

出　　处：《中国美容医学》2021年第12期163-165,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:对头皮恶性肿瘤术后大面积头皮缺损手术护理配合进行探讨。方法:总结笔者医院12例头皮恶性肿瘤切除术后针对其头皮缺损同时行下斜方肌带蒂肌皮瓣修复术的手术护理配合技巧。为确保手术皮瓣成功,手术护士术前加强患者的宣教及心理护理,术中做好低体温预防及体位性压疮护理、严格执行无瘤技术,术后严格做好交接班,定期回访患者等。结果:12例手术患者手术顺利完成,术后皮瓣完全成活,无护理不良事件发生。结论:完善手术前配合计划,术中密切关注手术进展,严格执行无菌操作、无瘤技术等是确保该手术成功的护理配合关键。Objective To explore the surgical nursing cooperation in the operation with large area scalp defection after malignant tumor excision.Methods Summarizing the surgical nursing techniques of 12 cases of scalp malignant tumor excision in the author's hospital for the defect of the scalp while carrying out the repair of the lower oblique muscle with the skinflap.In order to ensure the success of surgicalflaps,surgical nurses before surgery to strengthen the patient's education and psychological care,surgery to do a good job of hypothermia prevention and positional pressure sores care,strict implementation of tumor-free technology,after surgery strictly do a good job of shift,regular visits to patients.Results The operation was completed successfully,theflap survived completely,and no nursing adverse events occurred.Conclusion The key to the success of this kind operation is the perfect preoperative cooperation plan,close attention to the progress of the operation,strictly implement on the aseptic and the no-tumor technique.

关 键 词：头皮 恶性肿瘤 带蒂皮瓣 缺损修复 护理配合 

分 类 号：R473.6[医药卫生—护理学]