摘要
目的：探讨断指再指术后夜间护理对策。方法：总结１９８９ 年～１９９７ 年断指再植１ ６８５ 例（２ ０４６ 指）术后血管危象分类及分布，分析夜间发生血管危象的原因及相应护理措施。结果：（１）４２４ 指发生血管危象（２０－７ ％） ，其中动脉危象１０５ 指（２４－８％ ），静脉危象２７６ 指（６５－１％ ），混和血管危象４３ 指（１０－１％ ）；日间发生血管危象１３７ 指（３２－７％ ），８７ 指成活（６３－５％ ） ，夜间发生血管危象２８７ 指（６７－８ ％） ，１９９ 指成活（６９－３ ％） ；（２） 夜间发生血管危象原因包括患者本身（生理特点、心理障碍及吸烟等）、患者以外（ 医护方面、客观因素等） 及其它原因。结论：夜间发生血管危象占较大比例，重视断指再植术后夜间护理、正确处理夜间发生的血管危象是提高断指再植成活率的重要前提之一。
Objective:To investigate the countermeasure of night nursing after amputated digit replantation.Method:The classification and distribution of vascular crisis(VC) in 2 046 digits among 1 685 cases between 1989 and 1997 was reviewed,the cause of VC happening at night and corresponding nursing measures was analysed.Result:(1)424 digits(20.7%) sustained VC,of which artery crisis accounted for 105 digits(24.8%),veinous crisis 176 digits (65.1%) and mixed crisis 43 digits(10.1%);137 figers (32.7%) experienced VC at daytime,among those 87 figers (63.4%) survived;287 fingers (67.8%) at nighttime,199 fingers (69.3%) lived out.(2)The reasons of VC prone to occuring at night included those of patients themselves (physiologic features,psychological barrier and cigarette smoking),those beyond patients themselves (medical treatment and nursing,objective factors) and other causes.Conclusion:A large proportion of VC took place in the night.Paying attention to night nursing after replantating of severed fingers,taking proper saving measures when patrolling an indication of VC were important premise to increase surviving rate of amputated digit replantation.
出处
《实用护理杂志》
2000年第1期27-29,共3页
Journal of Practical Nursing
关键词
断指再植
血管危象
夜间护理
护理
digit replantation
vascular crisis
night nursing
inducing cause
nursing management
