Muguti G I, Fleming A N
Department of Surgery, Mpilo Central Hospital, Bulawayo, Zimbabwe.
J R Coll Surg Edinb. 1992 Jun;37(3):187-90.
A retrospective study is presented of 53 consecutive patients (25 men, 28 women) with contractures following burns admitted to Mpilo Central Hospital between August 1988 and August 1991. Of the total, 85% were aged 12 years or less. Most of the patients (75%) came from rural areas and in 67% of cases where the nature of the burning agent was known, the burn resulted from an open fire. The site most commonly affected was the hand (51% of cases). Most of the contractures were released either by cross cutting and split skin grafting, or by using some form of flap. No major complications were encountered apart from a few minor wound infections which settled down on antibiotics and dressings. To reduce the incidence of contractures in our practice it is important to educate the rural community about the dangers of open fires especially to children. Rural health personnel should be encouraged to consider early referral of patients with burns likely to lead to contracture formation.
对1988年8月至1991年8月期间入住姆皮洛中心医院的53例烧伤后挛缩患者（25例男性，28例女性）进行了一项回顾性研究。其中85%的患者年龄在12岁及以下。大多数患者（75%）来自农村地区，在已知燃烧剂性质的67%的病例中，烧伤是由明火引起的。最常受影响的部位是手部（51%的病例）。大多数挛缩通过交叉切开和植皮或使用某种皮瓣进行松解。除了一些轻微的伤口感染，经抗生素和敷料治疗后痊愈外，未出现重大并发症。为了在我们的实践中降低挛缩的发生率，对农村社区进行关于明火危险的教育很重要，尤其是对儿童。应鼓励农村卫生人员考虑对可能导致挛缩形成的烧伤患者尽早进行转诊。
