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目的:探讨乳腺癌改良根治术后皮瓣坏死的护理方式,作出护理体会。方法:研究我院2010年5月至2011年5月期间确诊为乳腺癌并接受乳腺癌改良根治术的病患134例,回顾分析其临床资料,观察相应的护理方式,总结并作出体会。结果:134例乳腺癌患者的术后随访情况:12例出现皮瓣坏死,坏死面积均≤4cm2,通过积极换药及相应治疗,在术后32-45天内均痊愈。结论:在乳腺癌改良根治术后的护理中,皮瓣坏死的出现与患者自身基础疾病、手术方式、包扎方式、术后观察与护理工作有关。实施预见性护理程序是预防皮瓣坏死的有效手段,适于在临床领域予以广泛的推广与应用。
Objective: To explore the nursing method of skin flap necrosis after modified radical mastectomy for breast cancer and to make nursing experience. Methods: A total of 134 patients with breast cancer diagnosed as breast cancer undergoing modified radical mastectomy from May 2010 to May 2011 were retrospectively analyzed. The corresponding nursing methods were observed and summarized. Results: The postoperative follow-up of 134 cases of breast cancer: flap necrosis occurred in 12 cases and the necrosis area was less than or equal to 4cm2. All cases were cured within 32-45 days after active dressing change and corresponding treatment. Conclusion: In the nursing care after modified radical mastectomy of breast cancer, the appearance of flap necrosis is related to patients’ basic diseases, operation methods, dressing methods, postoperative observation and nursing work. Implementation of predictive care program is an effective means to prevent skin flap necrosis, suitable for wide application and promotion in the clinical field.