小儿断指再植术后的观察及护理

Observation and nursing after finger replantation in children

目的总结小儿断指再植术后观察及护理要点,提高断指再植手术成功率。方法2003年4月～2007年10月对36例(共39指)患儿实施断指再植术,并做好术后患儿心理护理及患指护理,及时发现患指血管危象,并给予及时治疗处理。结果36例患儿39指中34指成活,成活率为87.2%;术后出现7指动脉危象,11指静脉危象,危象发生率为46.2%。结论断指再植术后精神紧张、寒冷、疼痛可导致血管危象的发生,在治疗护理过程中,应根据小儿的心理特点,加强心理护理,减轻患指疼痛,从而减轻患儿紧张、恐惧情绪;术后密切观察患指血液循环情况及动静脉危象发生的时间、特点,及时给予处理,是治疗护理成功的关键因素。

Objective To summarize the main points in observing and nursing children with finger replantation to improve the success late of replantation of severed finger. Methods 39 fingers of 36 children undenvent finger replantation process from April 2003 to October 2007. Psychological nursing and nursing of fingers were provided for the children. The vascular crisis of suffered fingers were observed and then treated in time. Results 34 out of 39 fingers in 36 children survived, with the survival rate 87.2%. Arten. crisis occurred in 7 cases and vein crisis occurred in 11 cases, the crisis rate being 46.2%. Conchtsions Nen, ousness, coldness and pain can lead to the occurrence of vascular crisis. Psychological nursing can help alleviate finger pain in children,and thus lessen children＇s anxiety and fear. Careful observation of suffered fingers＇ circulation and the artery crisis, and the prompt treatment are the key to successful nursing.