Chandra Paul Amal, Swapan K B, Spronk Cees A, Niemeijer Rob P E, Spauwen Paul H M
Faridpur City Hospital, Bangladesh.
Burns. 2008 Mar;34(2):181-4. doi: 10.1016/j.burns.2007.02.011. Epub 2007 Jul 17.
Over the last 6 years, a health care program aimed at the surgical correction of postburn contractures has taken place in Faridpur, Bangladesh. People in this rural region are very poor and often cannot afford medical treatment. Often secondary flexion contractures of the face and chin as well as the upper and lower extremity impede daily functioning and have an enormous psycho-social impact. The application of basic plastic surgical principles such as local transposition of skin flaps as well as skin grafts restores function dramatically and results in stable skin cover. It is quite challenging - both for the surgeon and the anaesthesiologist - to perform these operations within a rather limited infrastructure. In Bangladesh, there is a monumental need for correction of postburn contractures for the social needs of the patient as well as for functional purposes. Future actions should be directed to the training of surgeons and the development of specialized hospitals to demonstrate social as well as political commitment to health care programs.
在过去6年里，孟加拉国法里德布尔开展了一项旨在通过外科手术矫正烧伤后挛缩的医疗项目。这个农村地区的人们非常贫困，往往无力承担医疗费用。面部、下巴以及上肢和下肢的继发性屈曲挛缩常常会妨碍日常活动，并产生巨大的心理社会影响。应用诸如皮瓣局部转移和皮肤移植等基本整形外科原则能够显著恢复功能，并实现稳定的皮肤覆盖。在相当有限的基础设施条件下进行这些手术，对外科医生和麻醉师来说都颇具挑战性。在孟加拉国，从患者的社会需求以及功能需求来看，矫正烧伤后挛缩有着巨大的需求。未来的行动应致力于外科医生的培训以及专科医院的发展，以展现对医疗项目的社会和政治承诺。
