Singer Adam John, Chale Stuart, Taylor Maria, Domingo Anna, Ghazipura Saad, Khorasonchi Adam, Bienenfeld Abigail
Department of Emergency Medicine, Stony Brook University, Stony Brook, New York.
J Emerg Med. 2015 Feb;48(2):178-85. doi: 10.1016/j.jemermed.2014.10.008. Epub 2014 Nov 20.
Minor abrasions and skin tears are usually treated with gauze dressings and topical antibiotics requiring frequent and messy dressing changes.
We describe our experience with a low-cost, cyanoacrylate-based liquid dressing applied only once for minor abrasions and skin tears.
We conducted a single-center, prospective, noncomparative study in adult emergency department (ED) patients with minor nonbleeding skin abrasions and class I and II skin tears. After cleaning the wound and achieving hemostasis, the wounds were covered with a single layer of a cyanoacrylate liquid dressing. Patients were followed every 1-2 days until healing.
We enrolled 40 patients with 50 wounds including 39 abrasions and 11 skin tears. Mean (standard deviation) age was 54.5 (21.9) years and 57.5% were male. Wounds were located on the face (n = 16), hands (n = 14), legs (n = 11), and arms (n = 9). Pain scores (0 to 10 from none to worst) after application of the liquid dressing were 0 in 62% and 1-3 in the remaining patients. Follow-up was available on 36 patients and 46 wounds. No wounds re-bled and there were no wound infections. Only one wound required an additional dressing. Median (interquartile range [IQR]) time to complete sloughing of the adhesive was 7 (5.5-8) days. Median (IQR) time to complete healing and sloughing of the overlying scab was 10 (7.4-14) days.
Our study suggests that a single application of a low-cost cyanoacrylate-based liquid adhesive is a safe and effective treatment for superficial nonbleeding abrasions and class I and II skin tears that eliminates the need for topical antibiotics and dressings.
轻微擦伤和皮肤撕裂伤通常采用纱布敷料和外用抗生素治疗，换药频繁且操作麻烦。
我们描述了一种低成本、基于氰基丙烯酸酯的液体敷料的应用经验，该敷料仅需对轻微擦伤和皮肤撕裂伤使用一次。
我们在成年急诊科患者中进行了一项单中心、前瞻性、非对照研究，这些患者患有轻微无出血性皮肤擦伤以及Ⅰ级和Ⅱ级皮肤撕裂伤。在清洁伤口并止血后，用单层氰基丙烯酸酯液体敷料覆盖伤口。每1 - 2天对患者进行随访，直至伤口愈合。
我们纳入了40例患者，共50处伤口，其中包括39处擦伤和11处皮肤撕裂伤。平均（标准差）年龄为54.5（21.9）岁，男性占57.5%。伤口位于面部（n = 16）、手部（n = 14）、腿部（n = 11）和手臂（n = 9）。使用液体敷料后疼痛评分（0至10分，从无疼痛到最严重疼痛）在62%的患者中为0分，其余患者为1 - 3分。对36例患者和46处伤口进行了随访。无伤口再次出血，也无伤口感染。仅一处伤口需要额外换药。粘合剂完全脱落的中位（四分位间距[IQR]）时间为7（5.5 - 8）天。覆盖痂皮完全愈合和脱落的中位（IQR）时间为10（7.4 - 14）天。
我们的研究表明，单次应用低成本的基于氰基丙烯酸酯的液体粘合剂是治疗浅表无出血性擦伤以及Ⅰ级和Ⅱ级皮肤撕裂伤的一种安全有效的方法，无需使用外用抗生素和敷料。
