不完全断肢(指)再植术围手术期的护理

Not Completely Severed Limb (finger) Peri-operation Period Nursing of Replantation

分析不完全断肢(指)患者采用再植术的围手术期的护理方法与效果。回顾性分析他们的临床资料,总结了围手术期的护理方法与效果。主要包括我院2011年1月~2013年4月接待的不完全断肢患者24例,全部采用再植术治疗,24例患者经过围手术期精心的护理后,除了1例患者由于合并颅脑外伤而死于脑疝之外,其余患者皆未出现并发症现象,并且全部在术后2~6w痊愈出院。术后皆给予>6个月的随访,随访结果显示所有手术患者肢体功能的恢复比较理想,肢体被动活动情况良好。认为加强不完全断肢(指)再植术患者的围手术期护理,包括术前伤口清创、迅速止血,严格无菌操作,术后加强感染预防、血象观察及康复指导等,可以促进患者肢体功能的康复,同时提高再植术成功率,值得临床推广。

To analyze perioperative nursing methods of patients with incomplete limbs and their ef ects.Summarize the perioperative nursing methods and results by retrospective analysing clinical data.This clinical data mainly includes 24 patients with incomplete limbs in our hospital who has accepted replantation treatments in the period of January,2011 to April,2013.Though 1 out of 24 died due to craniocerebral trauma which at last caused hernia,the rest have al discharged in 2 to 6 weeks after surgery without any complication after careful perioperative nursing care.These 24 patients were al given fol ow-up for more than 6 months.The result shows that al of them have got ideal recovery of limb function and their passive physical activities are in good condition.Enhanced perioperative nursing care,which includes preoperative wound debridement,rapid homeostasis,strict aseptic,strengthening the prevention of postoperative infection,blood observation and rehabilitation guidance,is believed to promote the rehabilitation of limb function and to improve the success rate of replantation.It is worthy of being promoted.