[1]张歆惺,吴翠丽,怀文婷,等.自制简易局部氧舱在1例多发伤合并胃空气瘘患者皮瓣植皮术后的应用及护理[J].军事护理,2023,40(03):109-112.[doi:10.3969/j.issn.2097-1826.2023.03.027]
 ZHANG Xinxing,WU Cuili,HUAI Wenting,et al.Application of Self-Made Simple Local Oxygen Chamber after Skin Flap Grafting for A Patient with Multiple Injuries and Gastric Air Fistula and Its Nursing Care[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(03):109-112.[doi:10.3969/j.issn.2097-1826.2023.03.027]
点击复制

自制简易局部氧舱在1例多发伤合并胃空气瘘患者皮瓣植皮术后的应用及护理
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年03期
页码:
109-112
栏目:
技术与方法
出版日期:
2023-03-15

文章信息/Info

Title:
Application of Self-Made Simple Local Oxygen Chamber after Skin Flap Grafting for A Patient with Multiple Injuries and Gastric Air Fistula and Its Nursing Care
文章编号:
2097-1826(2023)03-0109-04
作者:
张歆惺吴翠丽怀文婷顾璐璐叶向红
(东部战区总医院 普外科,江苏 南京 210002)
Author(s):
ZHANG XinxingWU CuiliHUAI WentingGU LuluYE Xianghong
(Department of General Surgery,General Hospital of Eastern Theater Command,Nanjing 210002,Jiangsu Province,China)
关键词:
呼吸湿化治疗仪 局部氧舱 皮瓣移植 胃空气瘘 腹部外伤
Keywords:
respiratory humidification therapeutic equipment local oxygen chamber flap grafting gastric air fistula abdominal trauma
分类号:
R473.6; R823
DOI:
10.3969/j.issn.2097-1826.2023.03.027
文献标志码:
A
摘要:
目的 总结自制简易局部氧舱在1例多发伤合并胃空气瘘患者皮瓣植皮术后的应用及护理。方法 回顾性分析和总结某院收治的1例多发伤合并胃空气瘘患者的临床资料,患者治疗期间植皮区采用自制简易局部氧舱,并给予对应的护理及营养支持。结果 干预15 d后,患者病情平稳,移植皮瓣存活且生长良好,顺利出院。结论 针对多发伤合并胃空气瘘患者,临床可使用自制简易局部氧舱进行有效干预,并实施氧舱相关临床护理,以于加快患者的康复进程。
Abstract:
Objective To summarize the application of self-made simple local oxygen chamber after skin flap grafting for a patient with multiple injuries and gastric air fistula and its nursing care.Methods Retrospective analysis was adopted to summarize the clinical data of a patient with multiple injuries and gastric air fistula in a hospital.The self-made simple local oxygen chamber was used for the treatment of the skin graft area.Targeted nursing and nutritional support were also provided.Results The patient's condition was stable 15 days after the intervention.The transplanted flap survived and grew well.The patients was discharged successfully.Conclusions The self-made simple local oxygen chamber can be used as an effective intervention in clinic for patients with multiple injuries and gastric air fistula.Clinical nursing related with oxygen chamber should be implemented to accelerate the patients' rehabilitation process.

参考文献/References:

[1] 刘长松,朱熙铭,徐强,等.穿支皮瓣与腹部带蒂皮瓣治疗手外伤皮肤软组织缺损疗效比较[J].中华全科医学,2020,18(10):1671-1674.
[2] TANDARA A A,MUSTOE T A.Oxygen in wound healing-more than a nutrient[J].World J Surg,2004,28(3):294-300.
[3] 张高飞,刘文军,王迪,等.高压氧治疗用于烧伤患者皮瓣移植术后创面愈合治疗效果的Meta分析[J].中华损伤与修复杂志:电子版,2020,15(5):359-367.
[4] 刘笑,吴楠楠,刘青乐.高压氧在组织和皮瓣移植中的应用进展[J].山东医药,2018,58(13):106-108.
[5] 谭亚茜,贺海燕,旷玲玉,等.不同温度照射保温技术在指尖离断再植及手部组织缺损静脉皮瓣修复术后护理中的应用[J].护理研究,2019,33(23):4135-4137.
[6] 钟小红,黎艳,唐小刚,等.经皮氧分压及二氧化碳分压在重症监护病房患者压力性损伤风险评估中的应用研究[J].中国临床医生杂志,2021,49(12):1447-1450.
[7] ABRAHAM P,HERSANT J,RAMONDOU P,et al.Comparison of transcutaneous oximetry with symptoms and arteriography in thoracic outlet syndrome[J].Clin Hemorheol Microcirc,2020,75(1):107-119.
[8] FUJIMOTO S,SUZUKI M,SAKAMOTO K,et al.Comparison of end-tidal,arterial,venous and transcutaneous PCO2[J].Respir Care,2019,64(10):1208-1214.
[9] 王丽敏,薛继东,景福琴,等.多元化保温处理对游离皮瓣移植修复皮肤缺损患者皮瓣成活率及皮瓣局部血运的影响价值[J].罕少疾病杂志,2022,29(9):80-82.
[10]李林,李红卫,赵永健.带蒂旋髂浅动脉皮瓣去表皮修复贯通式手部高温高压注射伤[J].中华手外科杂志,2021,37(5):363-365.
[11]MCCLAVE S A,TAYLOR B E,MARTINDALE R G,et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient:society of critical care medicine(SCCM)and american society for parenteral and enteral nutrition(A.S.P.E.N.)[J].JPEN J Parenter Enteral Nutr,2016,40(2):159-211.
[12]SINGER P,BLASER A R,BERGER M M,et al.Espen guideline on clinical nutrition in the intensive care unit[J].Clin Nutr,2019,38(1):48-79.
[13]韩花花,周粤闽,赵倩楠,等.负压创面疗法在慢性难愈性创面中的应用及护理[J].河南大学学报:医学版,2020,39(5):330-333.
[14]王波,丁伟,朱镇宇.高压氧治疗皮瓣移植术后循环障碍的临床疗效观察[J].中国骨与关节损伤杂志,2020,35(5):547-548.

备注/Memo

备注/Memo:
【 收稿日期 】 2022-10-08 【 修回日期 】 2023-01-29
【 基金项目 】 军事医学创新工程项目(18CXZ040)
【 作者简介 】 张歆惺,本科,主管护师,电话:025-80863337
【 通信作者 】 叶向红,电话:025-80863337
更新日期/Last Update: 2023-03-15