Snyder R J, Doyle H, Delbridge T
University Hospital Wound Care Center, Tamarac, Fla., USA.
Ostomy Wound Manage. 2001 Nov;47(11):20-6.
Wounds in the lower extremities represent a complex medical dilemma and a significant financial burden on the healthcare system. Often, skin grafts and flaps must be incorporated into the treatment of complex defects. Wound management has developed from a multidisciplinary to a collaborative forum, blurring treatment lines among the specialties. Various clinicians and specialists are playing an increasingly larger role in the healing algorithm of wounds in the lower extremities, including the application of skin grafts. This allows the plastic surgeon to deal with the more complex free flaps and microscopic surgical procedures. A patient's status following skin grafting can be an issue in many nursing care environments. This paper provides a pictorial review of a reliable split-thickness skin graft technique that fosters imbibition and inosculation. The points relevant to nursing care include nursing implications (for the graft and donor site), complications, and what to expect in patients who have undergone the procedure.
下肢伤口是一个复杂的医学难题，给医疗系统带来了沉重的经济负担。通常，皮肤移植和皮瓣移植必须纳入复杂缺损的治疗中。伤口管理已从多学科论坛发展为协作论坛，模糊了各专业之间的治疗界限。包括皮肤移植应用在内的各种临床医生和专家在下肢伤口愈合算法中发挥着越来越大的作用。这使得整形外科医生能够处理更复杂的游离皮瓣和显微外科手术。在许多护理环境中，皮肤移植后患者的状况可能是一个问题。本文提供了一种可靠的断层皮片移植技术的图片综述，该技术促进吸收和吻合。与护理相关的要点包括护理注意事项（针对移植部位和供皮区）、并发症以及接受该手术患者的预期情况。
