1例前臂毁损患者行断肢异位寄养后全形组合回植重建术的护理

doi:10.3761/j.issn.0254-1769.2025.14.017

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (14): 1770-1773.DOI: 10.3761/j.issn.0254-1769.2025.14.017

1例前臂毁损患者行断肢异位寄养后全形组合回植重建术的护理

吴妙玲(), 韩怡, 秦毅, 赵亚芸, 柯小娥, 徐娟娟, 冯晶()

710054 西安市空军军医大学西京医院第九八六医院护理部

收稿日期:2025-01-08 出版日期:2025-07-20 发布日期:2025-07-09
通讯作者: 冯晶，E-mail：3525442854@qq.com
作者简介:吴妙玲：女，本科，副主任护师，E-mail：2236149660@qq.com

Nursing care for a patient undergoing total shape combination replantation and reconstruction surgery after heterotopic transplantation of a severed forearm：a case study

WU Miaoling(), HAN Yi, QIN Yi, ZHAO Yayun, KE Xiao’e, XU Juanjuan, FENG Jing()

Received:2025-01-08 Online:2025-07-20 Published:2025-07-09

摘要/Abstract

摘要：

总结1例右前臂毁损患者行断肢异位寄养后全形组合回植重建术的护理经验。护理要点：术前做好患者的伤情评估与急救处理，联合多学科制订个性化手术方案，完善术前准备；术后实施阶段性个体化护理，加强血管危象的监测及预防、做好伤口感染的防控及护理、实施多维度疼痛管理策略、提供全方位心理护理、开展阶梯式功能康复训练。经过2期手术及112 d的治疗与护理，患者右前臂功能恢复良好，顺利出院。

关键词: 前臂毁损, 断肢异位寄养, 全形组合回植重建术, 护理

Abstract:

This case study summarizes the nursing experience of a patient with right forearm damage who underwent total shape combined replantation reconstruction after heterotopic limb salvage. Key nursing points included：preoperative assessment of the patient’s injury and emergency treatment，formulation of a personalized surgical plan in collaboration with multiple departments，and complete preoperative preparation. Postoperatively，implement phased individualized nursing care postoperatively，strengthen monitoring and prevention of vascular emergencies，control and treat wound infections, implement multidimensional pain management strategies，provide comprehensive psychological care, and conduct stepwise functional rehabilitation training. After 2 stages of surgery and 112 days of treatment and nursing care，the patient’s right forearm showed good functional recovery，and the patient was discharged successfully.

Key words: Forearm Damage, Heterotopic Transplantation of Severed Limb, Total Shape Combination Re-plantation and Reconstruction Surgery, Nursing Care

吴妙玲, 韩怡, 秦毅, 赵亚芸, 柯小娥, 徐娟娟, 冯晶. 1例前臂毁损患者行断肢异位寄养后全形组合回植重建术的护理[J]. 中华护理杂志, 2025, 60(14): 1770-1773.

WU Miaoling, HAN Yi, QIN Yi, ZHAO Yayun, KE Xiao’e, XU Juanjuan, FENG Jing. Nursing care for a patient undergoing total shape combination replantation and reconstruction surgery after heterotopic transplantation of a severed forearm：a case study[J]. Chinese Journal of Nursing, 2025, 60(14): 1770-1773.

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1例前臂毁损患者行断肢异位寄养后全形组合回植重建术的护理

Nursing care for a patient undergoing total shape combination replantation and reconstruction surgery after heterotopic transplantation of a severed forearm：a case study

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