1例乳腺癌保乳手术合并背阔肌乳房重建术的个案护理  

Nursing care of 1 breast cancer patients undergoing breast conserving surgery combined with latissimus dorsi breast reconstruction

作　　者：贾雪芹 李文霞[1] JIA Xueqin;LI Wenxia(Operating Room,Guangdong Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510000,China)

机构地区：[1]广东省中医院手术室,广东广州510000

出　　处：《中国当代医药》2022年第18期172-175,共4页China Modern Medicine

基　　金：建设中医药强省立项资助科研课题(20151211)。

摘　　要：本文总结1例不更换体位的乳腺癌保乳手术合并背阔肌肌皮瓣移植乳房重建术的手术室护理方法,手术室护士通过术前访视和人、物、环境准备,术中在不更换体位的前提下,通过巡回护士和器械护士紧密、高质量的手术配合,术后再次访视护理等,给予患者全程、高质量的手术个案护理,最终患者安全、顺利完成手术,未发生术中并发症。因此,在乳腺癌保乳手术合并背阔肌肌皮瓣移植乳房重建术过程中,在不更换患者术中体位的基础上,给予高质量的手术护理配合,可减少手术程序和工作量,降低因体位改变可能造成的术口出血等术中不良情况的发生风险,缩短手术时间。This article summarizes the 1 case does not replace the position of breast cancer confirmed breast breast surgery combined the latissimus dorsi myocutaneous flap transplantation revascularization of the operating room nursing method,operating room nurses by preoperative visit and people,objects,environment preparation,intraoperative on the premise of not change the position,through visiting nurse and the instrument nurse close match to the operation,high quality,postoperative visit care again,the patient was given whole-process,high-quality surgical case nursing,and the patient finally completed the operation safely and smoothly without intraoperative complications.Therefore,having breast surgery for breast cancer with the latissimus dorsi myocutaneous flap grafting breast revascularization process,without replacement patients who,on the basis of position,to give high quality of surgery nursing,can reduce surgical procedures and workload,reduce because of the position change may cause intraoperative bleeding mouth intraoperative risk adverse situation,shorten operation time.

关 键 词：乳腺癌 保乳手术 背阔肌乳房重建术 个案护理 

分 类 号：R737.9[医药卫生—肿瘤]