Eldad A, Tuchman I
IDF-Medical Corps, Burns Unit, Hadaggah University Hospital, Israel.
Burns. 1991 Apr;17(2):155-8. doi: 10.1016/0305-4179(91)90141-3.
Burn wounds which require skin grafts are often heavily contaminated. Conventional methods of skin grafting demand bulky dressings and immobilization for 3-5 days. During this period, we cannot treat the wound topically, but can only hope that the skin graft will win the battle against infection and survive on the wound. The concept of an interface that has emerged in the past few years allows us to treat the wound topically through a transparent, permeable membrane that covers the skin graft without disturbing it. Omiderm, a hydrophilic polyurethane film that was developed as a burn dressing, has been used as an interface on 10 patients. Skin grafts on problematical areas and heavily contaminated wounds were covered with 1:1.5 non-expanded meshed Omiderm. An external layer of dressing with a topical antimicrobial agent was changed 8-24 h postoperatively and then at regular intervals. About 75 per cent 'take' was achieved, which was better than expected with other dressings under similar conditions.
需要植皮的烧伤创面往往严重污染。传统的植皮方法需要厚厚的敷料，并固定3至5天。在此期间，我们无法对创面进行局部治疗，只能寄希望于移植的皮肤能够战胜感染并在创面上存活。过去几年出现的界面概念使我们能够通过覆盖在移植皮肤上的透明、可渗透膜对创面进行局部治疗，而不会干扰移植皮肤。奥美德（Omiderm）是一种作为烧伤敷料开发的亲水性聚氨酯薄膜，已在10名患者身上用作界面。有问题区域和严重污染创面上的移植皮肤用1:1.5未扩张的网状奥美德覆盖。术后8至24小时更换一次带有局部抗菌剂的外层敷料，然后定期更换。约75%的移植皮肤“成活”，这比在类似条件下使用其他敷料的预期效果要好。
