Poh-Fitzpatrick M B
Department of Dermatology, New York Medical College, Valhalla.
Clin Plast Surg. 1992 Jul;19(3):745-51.
Many complications beset the skin formed over burn wounds, whether by primary re-epithelialization or grafting techniques, and these can evolve over days to decades. Mechanisms by which re-epithelializations, reattachment, and remodeling may result in skin prone to blistering, dryness, itching, contact dermititis, photosensitivity, and hypertrophic changes relatively early in the course of healing are considered, and therapeutic approaches are discussed. Late development of benign and malignant lesions calls for long-term surveillance of the healed skin of burned patients.
无论是通过一期再上皮化还是移植技术,烧伤创面形成的皮肤都会出现许多并发症,而且这些并发症可能在数天到数十年间逐渐发展。本文探讨了再上皮化、重新附着和重塑过程中可能导致皮肤在愈合过程相对早期就容易出现水疱、干燥、瘙痒、接触性皮炎、光敏性和肥厚性改变的机制,并讨论了治疗方法。良性和恶性病变的晚期发展需要对烧伤患者愈合后的皮肤进行长期监测。