Ferguson手术治疗婴幼儿发育性髋脱位的术后护理_王楠.pdf

现代临床护理（Modern Clinical Nursing）2013.12（7） 33 Ferguson 手术治疗婴幼儿发育性髋脱位的术后护理 王楠，覃倩，叶蕾 （北京积水潭医院，北京，100035） ［摘要］　目的　 探讨 Ferguson 手术治疗婴幼儿发育性髋脱位的术后护理方法。方法　对 34 例发育性髋脱位患儿 Ferguson 术后做好伤口渗血的观察和处理，皮肤护理，人类位石膏的护理以及家属的指导。结果　34 例患儿无 1 例发生再脱 位和压疮。1 例发生造影剂过敏，1 例发生石膏综合征，6 例会阴部水肿，经治疗症状好转。结论　严密的病情观察可及时发 现术后护理问题，同时采取积极和针对性的护理措施，对于降低患儿术后并发症，保证手术成功具有重要意义。 ［关键词］　Ferguson；婴幼儿；发育性髋脱位；护理 ［中图分类号 ］　R473.72　［文献标识码 ］ 　B　［文章编号 ］　1671-8283 （2013）07-0033-03　［DOI］　10.3969/j.issn.1671-8283.2013.07.010 Postoperative observation and nursing of hip developmental dislocation in infants with Ferguson operation Wang Nan，Qin Qian，Ye Lei ∥ Modern Clinical Nursing，-2013，12（7）：33. ［Abstract］　Objective　To explore the clinical nursing of hip developmental dislocation in infants with Ferguson operation．Method　 The nursing strategy was performed including observation of the surgical incision，skin care，care of cast and instructions to their parents． Result　No pressure sores occurred in all the 34 cases of hip developmental dislocation．1 case had delayed allergy reaction because of use of contrast media during operation，1 cast syndrome，and 19 edema of perineum of different degrees including 6 severe edemata，which were cured using wet compress with Adlerika．Conclusion　It is of great importance for the reduced incurrence of operation complications and promising operative effect to observe the conditions and treat timely problems in postoperative nursing． ［Key words］　Ferguson operation； infants； developmental dysplasia of the hip； nursing 发育性髋关节脱位是小儿常见的下肢畸形，随 手术情况：闭合复位失败 5 例，术中造影 29 例。 ［1-2］ 1.2　方法 年龄增长不断加重 。18 个月以下婴幼儿，国内普 遍采用的治疗方法为闭合复位和改良蛙式石膏固定， 对 34 例患儿实施双侧