Clarke H M, Wittpenn G P, McLeod A M, Candlish S E, Guernsey C J, Weleff D K, Zuker R M
Hospital for Sick Children, Toronto, Ontario, Canada.
Hand Clin. 1990 May;6(2):221-32.
The pattern of injury seen in pediatric hand burns differs from adults because scald burns are most common. Many of these are difficult to assess at initial presentation. In addition, children develop less stiffness in response to immobilization. For these reasons, we have developed a conservative, expectant approach for treating most pediatric hand burns. Meticulous wound care, positioning, splinting, and exercise are required to safely accomplish the goals of rapid healing with minimal loss of function. These regimens are adapted specifically to suit the age of the child and are applied by the burn team. Normal hand function can be obtained in the majority of cases.
小儿手部烧伤的损伤模式与成人不同，因为烫伤最为常见。其中许多在初次就诊时难以评估。此外，儿童因固定而产生的僵硬程度较轻。基于这些原因，我们针对大多数小儿手部烧伤制定了一种保守的、观望的治疗方法。需要精心的伤口护理、体位摆放、夹板固定和康复锻炼，以安全地实现快速愈合且功能损失最小的目标。这些治疗方案专门根据儿童年龄进行调整，由烧伤治疗团队实施。大多数情况下可获得正常的手部功能。
