Finger reimplantation aftercare should not be neglected

It is not always easy to live in the world, there are always many difficulties and setbacks. Even if people pay attention to safety, there will be big and small accidents. Often times, people will suffer from broken fingers because of work or natural or man-made disasters, etc. Fortunately, with the gradual development of medical science, nowadays the surgery for broken finger reimplantation has basically become mature. In order to achieve a very successful reimplantation of broken fingers to achieve healthy results, the pre-operative examination is essential, and rigorous post-operative care is also very necessary. First, the ward requirements Postoperative patients should be placed in a quiet, comfortable and fresh air in the ward, the room temperature is maintained at 23 ℃ -25 ℃, relative humidity 50% -60%. In addition, the top of the reimplanted finger with a 60-watt lamp irradiation, increase the local temperature, so that the local vasodilatation. Lamp from the hand 30-40cm is appropriate, so as not to cause burns. Second, positional care Postoperative patients should be absolutely bedridden for 1 week, encourage patients to change position, but pay attention to guide the patient to lie flat position and healthy side lying position alternately, do not lie to the affected side, in order to prevent the affected limb pressure affects blood flow. The affected finger should be elevated and braked, abducted, and elevated 10-20cm above the heart with a pillow to facilitate venous and lymphatic reflux, and to prevent sudden sitting up. Third, pain care Pain and mental tension can cause vasospasm, patients with pain in the affected finger should tell the medical staff in time to take effective pain relief measures, perform a variety of operations with gentle movements to avoid pain. Closely observe the blood supply of the affected limb, as well as capillary filling, and observe the wound blood seepage. 1, finger color and tension Normal when the skin color is red, pink nails, finger and stock full, when the skin color is pale, finger and stock tension is reduced indicating arterial crisis; when the skin color is dark red, purple, and blisters, and skin tension increases, indicating venous embolism. 2, capillary reaction with a fine rod lightly pressure on the skin or nail bed will become pale, remove the pressure in 1 ~ 2s to turn reddish for normal, when the capillary reaction is slow for arterial crisis, when the capillary reaction is rapid to disappear for venous embolism. 3.Skin temperature measurement The skin temperature of the replanted finger is equal to or slightly higher or lower than the skin temperature of the neighboring finger, which is normal, and when the skin temperature drops more than 3℃ compared with that of the healthy side, it means that a vascular crisis has occurred. 4, finger tip small incision blood oozing observation When the finger tip skin small incision has bright red and a lot of blood oozing out, after a few minutes can be stopped by itself as normal, when the small incision bleeding little or no bleeding for arterial crisis, small incision oozing dark purple blood indicates the occurrence of venous crisis, followed by arterial crisis. Dietary care Patients should eat high energy, high protein, high vitamin diet to promote wound healing; drink more water, eat more crude fiber food to prevent constipation, to ensure smooth defecation; prohibit caffeine-containing liquids, such as coffee, tea, cola, etc., avoid spicy and stimulating food; prohibit mosquito coils to prevent vasospasm. V. Smoking cessation Smoking cessation for those who are addicted to smoking, should quit smoking after admission to the hospital, and tell the patients that nicotine and other substances in the cigarette are easy to damage the endothelial cells of the blood vessels, but also platelet adsorbent, which is easy to cause vascular embolism and spasm, and at the same time, it is strictly prohibited for others to smoke in the hospital room. Sixth, rehabilitation training about 3 weeks after replantation, the patient can be in the doctor to strengthen the passive amplitude exercises, and start active training. For the immobilized joints can start to do passive flexion and extension, the range should be within the painless amplitude, from small to large, the number of times from small to large. After adaptive activities, the stiffness of the finger joints gradually improves, and you can do voluntary movement and extension and flexion exercises, but you have to exercise while preventing vascular neurological crises or even fractures due to excessive movement.