翁冬芳

    [摘要]?目的?總结儿童肱骨髁上骨折经皮克氏针内固定的手术护理体会，以期提高护理质量。方法?选取2018年1月至2021年12月杭州市儿童医院行经皮克氏针内固定治疗肱骨髁上骨折的患儿130例，其中Gartland?Ⅱ型72例，Gartland?Ⅲ型58例。护理要点包括一般常规手术护理举措，尤其强调物品准备齐全、术中体位管理及C型臂X线机的规范使用。结果?手术均顺利完成。术后均未出现骨折不愈合、血管损伤、骨筋膜室综合征、肘内翻畸形及感染情况。2例患儿术后出现尺神经损伤，行尺神经探查+前置术后恢复。肘关节功能评价，优126例，良4例。结论?采用闭合复位经皮克氏针内固定术治疗儿童肱骨髁上骨折，手术时间短、创伤小，术后并发症少。高质量的手术护理是确保手术顺利完成的基础，最大程度保障患者安全。

    [关键词]?儿童；肱骨髁上骨折；经皮克氏针固定术；手术护理

    [中图分类号]?R473?[文献标识码]?A?[DOI]?10.3969/j.issn.1673-9701.2023.24.026

    Surgical?nursing?of?children?with?supracondylar?fracture?of?humerus?treated?with?percutaneous?Kirschner?wire?internal?fixation

    WENG?Dongfang

    Operation?Room，?Hangzhou?Childrens?Hospital，?Hangzhou?310014，?Zhejiang，?China

    [Abstract]?Objective?To?summarize?the?surgical?nursing?experience?of?percutaneous?Kirschner?wire?internal?fixation?for?supracondylar?fractures?of?the?humerus?in?children，?in?order?to?improve?the?quality?of?nursing.?Methods?Totally?130?children?with?supracondylar?fractures?of?the?humerus?who?underwent?percutaneous?Kirschner?wire?internal?fixation?at?Hangzhou?Childrens?Hospital?from?January?2018?to?December?2021?were?selected ......