Clayton B J, Waller A L
University of Texas, MD Anderson Cancer Center, Department of Plastic Surgery, Houston, USA.
Plast Surg Nurs. 1996 Fall;16(3):133-8.
With the TRAM flap, the surgeon can restore the woman's breast using her own tissue while simultaneously giving her a flatter abdomen (Noguchi et al., 1992). Monitoring of the flap begins in the recovery room. Nurses monitor the flap by assessing the Doppler signal, color, temperature, and capillary refill every 15 minutes. Before the patient goes home, she is instructed in wound and drain care, and the nurses outline encouraged activities and activity restrictions.
使用横行腹直肌肌皮瓣（TRAM瓣）时，外科医生可以利用患者自身组织重建乳房，同时使患者腹部更平坦（野口等人，1992年）。皮瓣监测在恢复室开始。护士每15分钟通过评估多普勒信号、颜色、温度和毛细血管再充盈情况来监测皮瓣。在患者出院前，会指导其进行伤口和引流护理，护士会概述鼓励进行的活动和活动限制。
