Kang Xiao-Wei, Rong Chen, Liu Jie
Dept. of Operating Room, Peking University School & Hospital of Stomatology, Beijing 100081, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2011 Jun;29(3):261-3.
To summarize the cooperative measures on circulation restore during the operation of microvascular submandibular gland transfer.
Fifty-six cases of microvascular submandibular gland transfer were performed in Peking University School & Hospital of Stomatology from January 2005 to March 2009. The related data was collected retrospectively and the cooperative measures on circulation restore during the operation were summarized.
The circulation restore of transferred glands were satisfied in all 56 cases when the submandibular gland transfer operation finished. Thrombosis happened in 7 cases within the postoperative 48 hours and the secondary emergency operations were done. At last 6 glands were salvaged and the final successful rate was 98.21%.
Successful circulation restore was one of the key points on microvascular submandibular gland transfer. The most important mission of the nursing during the operation was the prevention of vascular crisis. The main measures include persistent wet packing using narceine, fomentation using warm saline and special nursing on postoperative complications. Our experience proves that it is beneficial to the success of operation.
总结微血管下颌下腺移植术中恢复血循环的配合措施。
回顾性收集2005年1月至2009年3月北京大学口腔医学院口腔医院行微血管下颌下腺移植术的56例患者的相关资料，总结术中恢复血循环的配合措施。
56例患者行下颌下腺移植术时，移植腺体血循环恢复均良好。术后48小时内7例发生血栓形成，行二次急诊手术，最终挽救6例腺体，最终成功率为98.21%。
成功恢复血循环是微血管下颌下腺移植的关键要点之一。术中护理的最重要任务是预防血管危象。主要措施包括罂粟碱持续湿敷、温盐水热敷及术后并发症的特殊护理。我们的经验证明这对手术成功有益。
