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[经管道高营养治疗的烧伤患者伤口愈合过程的特点]

[Characteristics of the wound process in patients with burns treated by tube hyperalimentation].

作者信息

Sologub V K, Tarasov A V, Kaem R I, Myzykant L I, Mordkovich M R

出版信息

Khirurgiia (Mosk). 1989 Aug(8):13-6.

PMID:2509782
Abstract

Time course of burn wound healing was studied in 32 patients with severe thermal trauma during tube hyperalimentation (TH). Similar study was conducted in 20 patients of the control group who did not receive TH. Early inclusion of TH in the complex of therapeutic measures stimulated some of the links of burn wound histogenesis: the formation of the demarcation swelling and rejection of the necrotic tissue occurred sooner, the leucocytic-macrophagal reaction was activated, and granulation and epithelialization processes were intensified. Thus, the use of the TH method in patients with burns makes it possible to conduct active surgical tactics for restoration of the lost skin area successfully as a result of which they recover within a shorter time than the patients of the control group.

摘要

对32例严重热烧伤患者在进行管饲高营养(TH)期间的烧伤创面愈合时间进程进行了研究。对20例未接受TH的对照组患者进行了类似研究。在综合治疗措施中早期采用TH刺激了烧伤创面组织发生的一些环节:分界性肿胀的形成和坏死组织的脱落出现得更早,白细胞-巨噬细胞反应被激活,肉芽形成和上皮形成过程得到加强。因此,对烧伤患者使用TH方法能够成功实施积极的手术策略来修复丧失的皮肤面积,结果是他们比对照组患者恢复得更快。

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