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目的：探讨单孔法在胸腔镜下切断胸交感神经链治疗原发性手汗症的护理方法。方法：单孔胸腔镜下切断胸交感神经链治疗原发性手汗症患者围手术期的护理措施。结果：我科收治手汗症患者35例，手术治疗接受率100％，手术成功率100％，围手术期无严重并发症，全部痊愈出院，术后随访，均无复发。结论：耐心的术前心理护理和健康教育，严格的术后并发症的观察及护理，系统的康复训练及出院指导是治愈原发性手汗症的重要护理工作。“,”Objective:To investigate care methods of singlehole cut method in thoracoscopic thoracic sympathectomy for treatment of primary palmar hyper-hidrosis.Methods:The hole cut thoracoscopic thoracic sympathetic chain therapy in patients with primary hyperhidrosis perioperative care methods.Results:Our department treated 35 patients with palmar hyperhidrosis,surgical treatment acceptance rate was 100%,100% success rateno serious perioperative complications and all were discharged,postoperative follow-up,no recurrence.Conclusions:Patient preoperative psychological care and health education,strict observation of postoperative complications and care,systematic rehabilitation guidance and discharge areimportant care to treat primary palmar hyperhidrosis.