颈部烧伤患者挛缩的预防与处理

Prevention and management of contractures in patients with burns of the neck.

作者信息

Bunchman H H, Huang T T, Larson D L, Lewis S R

出版信息

Am J Surg. 1975 Dec;130(6):700-3. doi: 10.1016/0002-9610(75)90424-9.

Abstract

Two hundred patients with neck burns were analyzed to determine the incidence of contractures. It was found that only 8 per cent of patients with second degree burns had contractures, all of which were mild. Both the overall incidence of cervical contractures in patients with third degree neck burns and their severity can be decreased by the use of a custom-formed isoprene splint. Splinting should begin as soon as possible after the burn and continue until scar maturation is complete.

摘要

对200例颈部烧伤患者进行分析以确定挛缩的发生率。结果发现，二度烧伤患者中只有8%发生挛缩，且均为轻度。使用定制的异戊二烯夹板可降低三度颈部烧伤患者颈部挛缩的总体发生率及其严重程度。夹板固定应在烧伤后尽快开始，并持续至瘢痕完全成熟。