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头皮撕脱伤围手术期护理
http://www.100md.com 2011年6月1日 《中国中医药咨讯》 2011年第11期
     【摘要】目的:探讨头皮撕脱伤围手术期护理方法。方法:术前给予患者积极的抗休克治疗、心理支持。根据患者伤情及采取的手术方法不同,进行有针对性的护理,及时发现并处理各种并发症。结果:21例患者中,5例行头皮原位回植,3例全部成活,2例部分成活;12例行撕脱头皮反取皮回植,4例行颅骨钻孔、二期植皮,植皮均成活。结论:根据头皮撕脱伤不同的处理方法,采取针对性围手术期护理是手术成功的重要保障。

    【关键词】头皮撕脱伤;围手术期;护理

    【Abstract】 Objective:To discuss the nursing methods of perioperative of scalp avulsion injury. Method: Taking special nursing measures according to patient's injury and different surgical procedures. The nursing methods included preoperative preparation for preventing hypovolemia shock, mental support and deal with postoperative prevention Result : 3 flaps survived completely and 2 flaps survived partly in 5 scalp replantation patients. Split skin from avulsion of scalp grafted in 12 patients. Multiple drilling in outer table of skull to accelerate the formation of granulation tissue , followed by split - skin grafting in 4 patients. Conclusion: According to different surgical procedures, Taking special perioperative nursing measures is the foundation of successful operation of scalp avulsion injury. ......

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