3例颅内外沟通性肿瘤切除及头皮修复的围手术期护理

Perioperative nursing of three patients undergoing resection with tumors involving intra-and extra-cranial regions and anterolateral femoral skin flap repair

总结3例晚期头皮鳞癌破坏颅骨、侵入脑组织内、形成头皮颅脑沟通性肿瘤、行颅内外沟通性肿瘤切除并股前外侧皮瓣转移修复术的围术期护理经验。手术由两组医生协助完成。两组医生同时开始,手术顺利,平均手术时间7 h。术前有效的控制感染,完善的术前计划,术中团队的紧密协作,有效的无菌技术、无瘤技术,术后严密的观察和积极的心理护理是手术成功的关键。

This paper summarized perioperative nursing care of three patients undergoing surgical tumor resection and anterolateral femoral skin flap repair,with tumors involving intra-and extra-cranial regions from scalp squamous cell carcinoma breaking through the skull directly into the brain. Three surgical procedures were successfully per- formed by cooperation between two surgical departments and the average duration was 7 hours. The effective preop- erative infection control,perfect surgical plan,intraoperative team collaboration,effective aseptic technique and tumor- free technique were key points for the success of the operations. Close postoperative observation and positive psy- chological nursing also guaranteed operation success.