44例游离腹壁皮瓣乳房重建病人的护理

44例游离腹壁皮瓣乳房重建病人的护理

[目的]探讨游离腹壁下深血管穿支皮瓣（deep inferior epigastric perforator flap,DIEP）乳房重建术的护理。[方法]收集44例接受游离腹壁下深血管穿支皮瓣乳房重建术的病人资料,回顾性分析游离腹壁下深血管穿支皮瓣乳房重建病人围术期的护理。[结果]经过规范的护理,42例游离腹壁下深血管穿支皮瓣乳房重建病人术后恢复良好（其中1例于术后第1天出现重建皮瓣血肿压迫,行皮瓣探查清除血肿后恢复良好,1例于术后第2天出现重建乳房皮下瘀血,行皮瓣探查＋吻合静脉卡压松解＋腹壁深静脉再吻合术后恢复良好）;其余2例出现了皮瓣坏死（1例于术后第6天出现皮瓣缺血坏死,行手术清创＋背...

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Veröffentlicht in:全科护理 2017, Vol.15 (35), p.4437-4439
1. Verfasser: 何丽娟
Format: Artikel
Sprache:chi
Schlagworte:
乳房重建
乳腺癌
压疮
护理
游离腹壁下深血管穿支皮瓣
血管危象
静脉血栓栓塞症
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creator 何丽娟
description [目的]探讨游离腹壁下深血管穿支皮瓣（deep inferior epigastric perforator flap,DIEP）乳房重建术的护理。[方法]收集44例接受游离腹壁下深血管穿支皮瓣乳房重建术的病人资料,回顾性分析游离腹壁下深血管穿支皮瓣乳房重建病人围术期的护理。[结果]经过规范的护理,42例游离腹壁下深血管穿支皮瓣乳房重建病人术后恢复良好（其中1例于术后第1天出现重建皮瓣血肿压迫,行皮瓣探查清除血肿后恢复良好,1例于术后第2天出现重建乳房皮下瘀血,行皮瓣探查＋吻合静脉卡压松解＋腹壁深静脉再吻合术后恢复良好）;其余2例出现了皮瓣坏死（1例于术后第6天出现皮瓣缺血坏死,行手术清创＋背阔肌皮瓣转移术;1例出现部分皮瓣坏死,随访2个月后行皮瓣坏死清创术）。[结论]临床护理人员应针对游离腹壁下深血管穿支皮瓣乳房重建术术后护理建立规范标准,以优化皮瓣转归,促进病人康复。
doi_str_mv 10.3969/j.issn.1674-4748.2017.35.036
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subjects 乳房重建
乳腺癌
压疮
护理
游离腹壁下深血管穿支皮瓣
血管危象
静脉血栓栓塞症
title 44例游离腹壁皮瓣乳房重建病人的护理
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