论文部分内容阅读
目的通过本组624例特殊部位烧伤患者的救治回顾,探讨特殊部位烧伤患者临床治疗效果。方法根据患者入院时间不同,参照不同特殊烧伤部位采取相应积极治疗措施。结果本组特殊部位烧伤患者由于创面早期得到及时处理,创面修复后外观及功能恢复良好,其中深度烧伤伤后7d内手术者,功能恢复良好在85.00%以上,除骨骼外露坏死、肌腱损伤外多数病例不需二次整复手术。采取大张自体皮移植、皮瓣移植及早期切削痂生物敷料或异体皮覆盖短时间内自体皮移植的特殊部位烧伤,术后外观形态及功能恢复良好率均较高。结论烧伤创面早期清创,功能部位妥善固定在特殊部位烧伤早期治疗中尤为重要。深度烧伤屏弃以往保守换药治疗,早期手术采用大张自体中厚皮片或全厚皮片移植,毁损严重、肌腱、骨骼、关节囊暴露者应用皮瓣修复,愈后创面外观修复、功能恢复良好,疗效显著。
Objective Through this group of 624 patients with special parts of the treatment of burn patients to review the treatment of patients with special parts of the clinical effect of treatment. Methods According to different patient admission time, with reference to different parts of the burn to take the appropriate active treatment measures. Results The burned patients in this group received early treatment because of the early wound healing. The appearance and function recovered well after the wound repair. The function recovered more than 85.00% within 7 days after deep burn injury. Except for the bone exposed and necrotic, the majority except the tendon injury Cases do not need a second surgery. To take a large autologous skin grafts, skin grafts and early cutting callus biological dressings or allograft cover a short period of autologous skin grafts burns special parts, appearance and function recovery after surgery were good rates. Conclusion Early debridement of burn wounds and proper fixation of functional parts are particularly important in the early treatment of burn with special parts. Deep burn screen abandoned the conservative conservative dressing treatment, the early operation of large autologous medium thick skin graft or full thickness skin graft, severe damage, tendon, bone, joint capsule exposed skin flap repair, healing the appearance of the wound repair, functional recovery Good, significant effect.