右耳撕脱伤再植修复术围手术期护理
[摘要]目的：探讨耳部撕脱伤患者的有效护理措施。方法：对1例右耳撕脱伤患者围手术期实施全程病情观察，针对耳廓、饮食、疼痛及心理等方面行针对性专科护理措施。结果：患者右耳部外形及功能基本恢复正常，治愈出院。结论：耳廓撕脱回植手术护理中，急救护理是康复前提，术前护理是关键，术后全方位护理是重要保障。
[关键词]耳部；撕脱伤；回植修复；护理
[中图分类号]R473.6 [文献标志码]B [文章编号]1008-6455（2018）05-0138-02
Clinical Observation and Nursing of One Case of Right Ear Avulsion Injury Replantation
LI Yang，GUO Yuan，SU Xin，SHU Mao-guo
（Department of Cosmetic and Maxillofacial Surgery，the First Affiliated Hospital of Xi"an Jiaotong University，Xi"an 710061，Shaanxi，China）
Abstract： Objective To explore effective nursing measures for patients with avulsion injury of ear. Methods One case of avulsion injury of right ear were observed during the perioperative period， and targeted specialized nursing measures were carried out in terms of auricle， diet， pain and psychology. Results The appearance and the function of the right ear has been generally restored， and the patient was cured and discharged from hospital finally. Conclusion In the course of auricula avulsion injury replantation surgery nursing， emergency nursing is the premise， preoperative nursing is the key point， and postoperative all-round nursing is the important guarantee.
Key words： ear； avulsion； replanting and repair； nursing
日常生活中，由于交通事故等原因导致耳部撕脱及断裂时有所见。造成人体耳廓缺损的直接原因包括切割、抓咬、挤压、撕裂等[1]。耳廓附着在头颅两侧，由韧带、肌肉、软骨和皮肤连接，大部分为软骨组织，外面表皮层为软骨膜和皮肤[2]。耳部撕脱伤是指耳部组织缺损，或耳廓撕裂或全部撕脱断离。耳部撕脱伤在临床上虽不常见，但撕脱耳部回植术的成败将直接影响患者康复后的生活质量，笔者科室于2017年11月收治1例右耳廓大部撕脱伤...
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