Ravishanker R, Bath A S, Roy R
Department of Plastic Surgery, Army Hospital (Research and Referral), Delhi Cantt., 110010, New Delhi, India.
Burns. 2003 Jun;29(4):369-74. doi: 10.1016/s0305-4179(02)00304-2.
With about 2 million cases of burns in India of which about 90% are superficial and superficial partial thickness burns, burn injuries present a major challenge to the scarce medical resources available. The main requirement in treating these burns is an economical, easy to apply, readily available dressing that will provide good pain relief, protect the wound from infection, promote healing, prevent heat and fluid loss, be elastic and non-antigenic and adhere well to the wound. It was in the quest of such an ideal dressing that the Burn Centre of the Army Hospital (Research and Referral) New Delhi, India has been using human amniotic membranes preserved long term in 85% glycerol for treating these wounds. The results of this quest have resulted in a protocol where these long term glycerol preserved membranes (some of which have now been preserved for about 2.5 years) are used for treating superficial and superficial thickness burns presenting at our center. This paper shows the excellent results obtained with the use of this extremely economical dressing and emphasizes the importance of establishing such "Amnion Banks" in all hospitals especially in developing countries.
在印度,每年约有200万例烧伤病例,其中约90%为浅度和浅Ⅱ度烧伤,这对稀缺的医疗资源构成了重大挑战。治疗这些烧伤的主要需求是一种经济、易于应用、随时可用的敷料,它能有效缓解疼痛、保护伤口免受感染、促进愈合、防止热量和体液流失、具有弹性且无抗原性,并能很好地贴合伤口。正是为了寻找这样一种理想的敷料,印度新德里陆军医院(研究与转诊)烧伤中心一直在使用85%甘油长期保存的人羊膜来治疗这些伤口。这一探索的结果形成了一种方案,即使用这些长期甘油保存的羊膜(其中一些现已保存约2.5年)来治疗我们中心收治的浅度和浅Ⅱ度烧伤。本文展示了使用这种极其经济的敷料所取得的优异效果,并强调了在所有医院尤其是发展中国家建立此类“羊膜库”的重要性。