摘要
目的 总结应用游离皮瓣修复手部创伤的围术期护理经验。方法 对2022年1月至2023年7月102例手部创伤病人的围术期护理进行回顾性分析。结果 4例患者有静脉血循环不畅，取下局部缝合后改善，3例皮瓣小面积坏死，更换药膏后改善，2例胸脐皮瓣尧，1例足背部复合皮瓣坏死，余皮瓣颜色正常，有一定的弹性。结论 加强围术期护理是提高游离皮瓣成活率的重要因素。
关键词： 手外伤；游离皮瓣移植术；应用效果；护理
Abstract
Objective To summarize the perioperative nursing experience of free skin flap in repairing hand trauma. Methods The perioperative nursing of 102 patients with hand trauma from January 2022 to July 2023 was retrospectively analyzed. Results 4 patients had poor venous blood circulation, which was improved after local suture, 3 cases had small flap necrosis, which was improved after cream replacement, 2 cases had chest umbilical flap necrosis, 1 case had foot back composite flap necrosis, the residual flap color was normal, with certain elasticity. Conclusion Strengthening perioperative nursing is an important factor to improve the survival rate of free flap.
Key words： Hand trauma; Free flap transplantation; Application effect; Nurse
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