Views:1 Author:Site Editor Publish Time: 2021-07-01 Origin:Site
1. Elastic bandage dressing method
After the operation, the incision is covered with conventional aseptic materials. The aseptic materials are stacked into a shape corresponding to the axillary and compacted to achieve an effective compression effect. After sticking with tape, use a 10X 20cm digital post perpendicular to the mid-axillary line. Fix it with pressure in the direction, and then let the patient sit upright, expand the upper limbs in a star shape, do not shrug, use an elastic bandage to compress the surgical site with the "8" method. Care must be taken to avoid leaving a dead space, which will help the skin and the operation area. Subcutaneous tissue adhesion is healed. Adding brigade bandaging can also reduce postoperative pain. When using elastic bandages, the tension should be moderate to prevent the patient from affecting the upper limb veins and lymphatic wave return, causing swelling of the hands. Joints during light activities. But the upper limbs should not be raised over the shoulders. When lying flat, you can place the shuanghu on the chest and abdomen to promote blood return. The patient's hands will not be swollen and numb. If you find that the bandage is loose and moving, and your hands are swollen and numb, the patient should not loosen the bandage by himself, and should go back to the hospital and re-bandage it in time.
2. Postoperative care
Postoperative care includes: 1. Keep the upper limbs slightly abducted after the operation, avoid excessive lifting, abduction and swinging of the upper limbs within 2 weeks, and help the family members to eat in the first few days after the operation to avoid shoulder joint movement during the meal. As a result, the skin will shift, and avoid strenuous exercise of the shoulder joint within 1 month to prevent the injury from splitting.
2. "8" self-adhesive elastic bandage compression bandaging operation area to prevent hematoma, it is necessary to frequently observe the venous return of both upper limbs.
3. Bleeding is the most common complication after surgery. Pay attention to the changes in the exudate of the materials and the color and texture of the skin in the operation area: if hematoma occurs, the hematoma should be cleared in the outpatient operating room in time, and the pressure should be re-wrapped after treatment.
4. Observe whether there is any bleeding on the first day after the operation, remove the compression bandage 3-5 days after the operation, remove the elastic bandage and change the dressing: take the drug orally for 3-5 days to prevent infection and remove the sutures in 10-12 days according to the doctor's instructions. Avoid strenuous activities before removing stitches
5. Do a good job of psychological care. The patient feels uncomfortable in the surgical area 24 hours after the operation due to the tissue damage caused by the operation, the fixed posture or the tightness of the bandage and the restricted movement and mental factors. At this time, the nursing staff should carefully observe and ask the patient in detail, understand the original nature and extent of the pain, analyze the predisposing factors, check the wound according to the doctor's advice, and re-dress the wound.
6. Explain to the patient the necessity and importance of postoperative self-adhesive elastic bandage compression dressing