【摘要】 目的:探讨深Ⅱ°以上烧伤合并肩关节离断手术的护理配合。方法:调查5例全身多处深Ⅱ°以上烧伤合并一侧腋下神经、血管断裂和缺损的患者,行肩关节离断手术+清创术及扩创+游离皮瓣植皮术,并给予精心的护理配合。结果:5例患者中4例肩关节离断端端愈合良好。5例患者植皮皮片完全成活,1例肩关节离断端有大量血凝块积聚及坏死的肌肉组织,经清创处理后顺利愈合。结论:深Ⅱ°以上烧伤合并肩关节离断手术由于其病情危重,创伤面积大,手术难度高,手术次数多,手术时间长及术后肢体残缺等特点,在进行肩关节离断+清创术和扩创+游离皮瓣植皮手术时必须做好大量物品、器械及急救物品的准备,熟练配合手术操作,随时做好抢救准备,术后做好创面的加压包扎,防止感染,全程进行心理疏导,消除疑虑,减轻患者压力,增强患者对手术的信心,对生命的珍惜。更多还原

【Abstract】 Objective:To study nursing cooperation of disarticalation of shoulder with deepⅡ°above burn patient. Methods:Investigates 5 example whole bodies place to be deep muchⅡ° above burn patient merges one side armpit nerve,the blood vessel break and the damage,the silk thread business shoulder joint to breaks the surgery + epluchage and expands creates + the dissociation skin petal skin grafting nursing coordination method. Results:4 example patients shoulder joint to breaks the neat cicatrization to be good. 5 example patients graft skin Pi Pian to survive completely,1 example shoulder joint to breaks the end to have the massive blood clot agglomeration and necrosis muscular tissue,after creates processing clear the smooth cicatrization. Conclusion:The depthⅡ° above burn patient gathers shoulder to shoulder the joint to break the surgery because its condition was seriously injured,the wound area was big,the surgery difficulty is high,the surgery number of times are many,surgery time long and technique hind legs body incomplete and so on characteristics,when carries on the shoulder joint to break + the epluchage and expands creates + the dissociation skin petal skin grafting surgery must complete the massive goods,the instrument and the first aid goods preparation,coordinates the surgery to operate skilled,prepares for rescue as necessary,after the technique completes the injured area the compression wrap,prevents the infection,the entire journey carries on psychological unblocking,dispels the anxiety,reduces the patient pressure,strengthens the patient to the surgery confidence and treasuring the life.更多还原