动脉化静脉皮瓣移植术后临床表现分型及其护理对策

doi:10.3969/j.issn.2095-9400.2020.06.015

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Abstract Objective: To classify different clinical manifestations after arterialized venous flap transplantation in order to take targeted nursing interventions for the improvement of flap survival. Methods: All the cases reconstructed with free arterialized venous flaps in the Second Affiliated Hospital of Wenzhou Medical University from June 2010 to March 2019 were collected. A systematic analysis was carried out in terms of the color and tension of the flaps, the degree of swelling, the formation of blisters and the congestion status. Nursing interventions were adopted individually according to different clinical features. The survival of the flaps was taken as the main evaluation parameter. Results: A total of 64 cases including 68 arterialized venous flaps were included. According to their postoperative features, they were divided into three types: the normal physiological flap type (NPF type, 25 cases, 27 flaps), the blister formation type (BF type, 18 cases, 18 flaps), and the congestion swelling type (CS type, 21 cases, 23 flaps). Among them, all the NPF type survived uneventfully; only one partial flap loss occurred in the BF type and two partial and one total flap loss were encountered in the CS type after active conservative management. Conclusion: The clinical manifestations of arterial venous flaps are quite different. It is essential to strengthen postoperative observation and nursing interventions according to different clinical types.

Key words： artertialized venous flaps clinical classification postoperative nursing nursing observation

Received: 09 December 2019

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	Zhao Bin
	Luo Xiaobin
	Rao Shiming
	Wu Zhipeng
	Li Zhijie
	Yan Hede

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https://xb.wmu.edu.cn/EN/10.3969/j.issn.2095-9400.2020.06.015 OR https://xb.wmu.edu.cn/EN/Y2020/V50/I6/500

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