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乳腺癌改良根治术后皮下积液的预防与处理 被引量:11

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摘要 目的通过埘125例乳腺癌改良根治术患者中34例皮下积液的临床资料分析,探讨术后皮下积液的预防及处理。方法均采用纵梭形切口,将手术要求范围内的组织整块切除后,用1根硅胶管剪多个侧孔放置于腋下胸壁侧方,引流腋窝处,,手术结束时应用负压口发引器通过引流管吸尽皮瓣下积气,再川人量棉垫填压腋窝、锁骨下及前胸壁,使皮瓣与胸壁贴近,胸带加压包扎。手术引流管接一次性负压引流器,切口处沙袋加压。一般当引流管每日引流量小于10ml时拔管,平均人数为6~9灭。若出现皮下积液,根据皮下积液的范围大小及有无拔管等情况,采取调整引流管位置、冲洗引流管使之保持通畅、尤菌注射器吸出积液、皮肤重新戳孔放置引流条或引流管接负胝吸引等措施,并配合积液部侮加压包扎处理..结果皮下积液总体发生率为27%。对出现皮下积液的患者采取不同的措施,5~10天后治愈,无1例发牛皮瓣坏死。结论乳腺癌术后预防皮下积液是一个系统工程。只有术前严密设计皮瓣,术中合理选择手术方式,做好皮下积液的充分引流,才能减少甚至防止乳腺癌术后皮下积液的发生。
作者 嵇宇 刘雷
出处 《安徽医学》 2008年第3期308-309,共2页 Anhui Medical Journal
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