Sawhney C P
Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Burns. 1989 Oct;15(5):339-42. doi: 10.1016/0305-4179(89)90015-6.
This report details observations in 90 patients with dermal depth burns treated using amniotic membrane. The patients were divided into three subgroups: superficial dermal, intermediate dermal and deep dermal burns diagnosed clinically. All patients were dressed with amniotic membrane which was changed daily. The amniotic membrane relieved the discomfort of dressing changes, postoperative pain and oozing and allowed rapid epithelialization and early healing in superficial and intermediate depth dermal burns. In deep dermal burns the membrane was dissolved because of slough in the burn wound. After removal of the slough the amniotic membrane helped in rapid regeneration of epithelium and early healing.
本报告详细介绍了90例使用羊膜治疗的真皮深度烧伤患者的观察情况。患者被分为三个亚组：临床诊断为浅表真皮、中度真皮和深度真皮烧伤。所有患者均用羊膜包扎，每天更换。羊膜减轻了换药时的不适、术后疼痛和渗液，并使浅表和中度深度真皮烧伤能够快速上皮化和早期愈合。在深度真皮烧伤中，由于烧伤创面的坏死组织，羊膜会溶解。清除坏死组织后，羊膜有助于上皮细胞的快速再生和早期愈合。
