游离股前外侧皮瓣移植修复下肢组织缺损术后72h皮瓣的护理

Nursing of skin flaps after 72 hours' transplantation of femoral skin flap for repairing soft tissue defect in lower extremity

目的总结游离股前外侧皮瓣移植修复下肢组织缺损术后72h皮瓣的护理要点。方法对160例外伤致下肢软组织缺损患者采用游离股前外侧皮瓣移植,术后72h内配合做好皮瓣护理工作。结果 160例游离股前外侧移植皮瓣修复下肢组织缺损患者移植皮瓣全部成活,术后72h内12例患者出现血管危象,经对症处理后均愈合。结论行游离股前外侧皮瓣移植修复下肢皮肤组织缺损术患者,术后72h内应加强皮瓣观察及护理,做好术前后心理护理,疼痛护理及健康指导工作等,其是保证皮瓣成活的重要因素。

Objective To summarize the strategies for nursing of skin flaps after 72 hours＇ transplantation of femoral skin flap for repairing soft tissue defect in lower extremity.Method One hundred and sixty trauma patients with lower extremity soft tissue defect underwent transplantation of femoral skin flap for repairing.The skin flaps were nursed within 72 h after transplantation.Results The skins flaps in 160 patients receiving to repair tissue defect of lower limbs all survived.Within 72 hours after operation, 12 patients suffered from vascular crisis, which were cured after pertinent treatment.Conclusions For the patients receiving to repair tissue defect, the skin flaps should be carefully nursed. Meanwhile, preoperative psychological nursing, postoperative pain nursing and health education are critical for the survival of skin flaps.