After guards against the prosperous young technique the breast hardening

After the phantom sets at into the prosperous young technique textile fiber Bao Moluan to shrink sends the breast to harden (to hereafter refer to as breast to harden) is one of most common complications,changes hard besides feel,the contour also has the change,serious even has the ache uncomfortableness,for brings the technique serious spiritual burden .1990 years January ~1998 years in October,my branch puts in under the chest big muscle to 100 examples using the silicon capsule breast phantom to carry on the technique the tracing observation,in which only 6 examples appears the breast to harden,94 exceptional swelling Italy,feel is good.

.wuduerp 1.1,clinical Material
This group of 6 examples appear the breast to harden its reason phantom choice oversized 2 examples,the operation rough organization damage 2 examples,the haematoma 1 example,the reason unclear 10 examples.

.wuduerp 1.2,prevention method
1. phantom choices: According to the height,degree of stoutness,the chest gallery shape and the stature proportion and so on the actual situation,the choice surface is smooth,size appropriate breast phantom.Below the height 1.6 m standard body weights,select 140 ml~160 ml suitably the phantom,height 1.6 m~1.70 the m standard body weight all suitably select 180 ml~200 ml the phantom,above the height 1.70 m standard body weights select 200 ml above phantoms. Is lower than or surpasses the standard body weight,suitable reduced or increase phantom milliliter number. Carefully inspects its quality earnestly,the pouch membrane is whether smooth,whether or not the abrasion,the scratch,from the different direction,the angle moderate extrusion,observes the pouch membrane thickness to be whether even,must pay attention to the seal glue evenly specially reliable,does not have the fissure.

2. phantom cleans and disinfection: Should in the technique previous 1 day,with the clear water,the neutral soapy water flush two,then uses the physiological saline to flush again only,after removes its superficial impurity,loads in the pure metal box the high-pressured antiseptic disinfection (temperature 121℃,15~20 min).Because the silica gel has the static electricity adsorption,after therefore the clean phantom should avoid with the cotton yarn,the chemical fiber fabric,the talcum powder contact,guards against in its surface forms the foreign matter,causes repels the response.

3. surgery matters needing attention: Operates gently careful,reduces the organization to damage as far as possible,the chest greatly myo- in-depth gap peeling must be thorough,the cavity crack should enough spacious (its diameter be bigger than breast phantom diameter 1 cm or frequent),avoids leaving leeway the strip funicular fetters. Sets at into the operation to finish,with handles gently pats strikes or caresses rubs the breast,but causes the phantom in the cavity crack the full extension the non-group pleat.

4. prevention haematoma infection:① In front of technique previous 1 day intermuscular injection Vitamin K10 mg or the technique 1h intermuscular injection An Luoxue 10 mg,after the technique the same day vein drop note stops bleeding in the fragrant acid 0.4 g. technique the hematischesis to have to be thorough,wound laying aside drainage tube 2,in 24~48 h close observation drainage quantity and nature.In the technique adds the hormone in the breast partial use antibiotic. Sets at into the charge type breast phantom to pour into the physiological saline (according to phantom size) to add dexamethasone 10 mg,celebrates magnamycin 80 000μ,and sets at into the cavity with the antibiotic flushing phantom,after the technique the conventional application antibiotic 1 week,maintains the breast to be clean,reduces the haematoma and the infection occurrence. After the technique starts from 3~5 days to massage generally,dynamics can move as good take the breast phantom,daily 2 times,each time 20 min,after opens the line to be possible to increase dynamics gradually. Auxiliary therapy: After the technique takes right amount Vitamin E,if the discovery wound inflamed or has the few exudations,when hypodermic hardens,but physical therapy 3~7 days.

This chapterpublished in published in the:Breast Health (http://www.womimi.net),In this paper.