急诊入院整形美容技术修复146例头面部软组织损伤患者的护理体会

The nursing experience of 146 patients with head and facial soft tissue injuries was repaired by plastic surgery and cosmetic technology in emergency admission

目的总结急诊入院整形美容技术修复146例头面部软组织损伤患者的护理经验。方法选择2023年4月至2023年12月焦作市第二人民医院急诊科收治的146例头面部软组织损伤患者作为研究对象;创面类型为单处线性118例,单处缺损15例,多处创伤11例,贯穿伤2例。患者入院时做好评估,给予个性化心理护理缓解其不良情绪,术前向患者介绍整形美容技术的特点、费用,术中做好配合,术后做好创面护理和皮瓣护理,院外延续性护理对患者饮食和创面护理进行指导。结果单处线性创伤118例患者,均一期愈合,术后9例遗留瘢痕,切口长度均≥5 cm;单处缺损15例,2例患者缺损面积较大,需进行二期肉芽创面植皮,为二期愈合;其余13例均为1期愈合,3例患者遗留瘢痕。多处创伤11例,均一期愈合,未见遗留明显瘢痕。贯穿伤2例患者均一期愈合,未遗留瘢痕。结论整形美容技术是急诊科修复头面部软组织损伤的主要方式,对术前评估和针对性的心理护理、术前沟通,可促进患者对整形美容技术的理解和应用,术后护理和延续性护理,可保证术后修复美容效果。

Objective To summarize the nursing experience of 146 patients with head and facial soft tissue injuries who were admitted to the hospital with plastic and cosmetic techniques.Methods A total of 146 patients with head and facial soft tissue injuries admitted to the emergency department of Jiaozuo Decond People's Hospital from April 2023 to December 2023 were enrolled as the study subjects.There were 118 cases of single linear wounds,15 cases of single defects,11 cases of multiple traumas,and 2 cases of penetrating wounds.The patient should be evaluated when he or she is admitted to the hospital,given personalized psychological care to alleviate his bad mood,introduce the characteristics and cost of plastic surgery technology to the patient before the operation,cooperate during the operation,do a good job of wound care and flflap care after the operation,and provide guidance on the patient's diet and wound care through out-of-hospital continuous nursing.Results A total of 118 patients with single linear trauma were healed in the fifirst stage,and 9 patients were left with scars after surgery,and the incision length was≥5 cm.There were 15 cases of single defects,and 2 patients had large defect areas,and second-stage granulation wound skin grafting was required for second-stage healing.The remaining 13 patients were all healed in stage 1,and 3 patients were left with scars.There were 11 cases of multiple wounds,all of which were healed in the fifirst stage,and no obvious scars were left.Both patients with penetrating injuries healed in the fifirst stage without scarring.Conclusions Plastic and cosmetic technology is the main way to repair head and facial soft tissue injuries in the emergency department,and preoperative assessment,targeted psychological care and preoperative communication can promote patients'understanding and application of plastic and cosmetic technology,postoperative care and continuous care,and ensure the postoperative repair and cosmetic effect.