Phillips L G, Robson M C, Smith D J, Phillips W A, Gracia W D, McHugh T P, Sullivan W G, Mathoney K, Swartz K, Meltzer T
University of Texas Medical Branch, Galveston.
Burns. 1989 Aug;15(4):254-6. doi: 10.1016/0305-4179(89)90044-2.
The following report reviews 851 applications of Biobrane on partial skin thickness burn wounds awaiting epithelialization. After the patients had been evaluated and resuscitated as needed, the burn wounds were cleansed and debrided. Those evaluated as shallow were treated with Biobrane application. Joint surfaces were splinted for immobilization. The wound was inspected at 24 and 48 h and if any fluid had accumulated it was aspirated and the wound was redressed. When the Biobrane was adherent, the wound was covered with a light dressing and joint immobilization was discontinued. Treatment with Biobrane dressing provided certain advantages over other topical wound care. As the dressing changes were performed less frequently outpatient care was possible, with a resultant decrease in both the length of hospital stay and the ultimate cost of burn care. Wound desiccation is prevented and pain is decreased. Accurate diagnosis of wound depth is crucial if Biobrane is to be used. Very deep wounds will not allow Biobrane adherence, neither will it occur if the wound has a high bacterial count. If joint surfaces are not splinted, the Biobrane will shear and not adhere to the wound. Convex and concave surfaces can be treated with Biobrane, which may need to be meshed.
以下报告回顾了生物膜在851例等待上皮化的部分厚度烧伤创面中的应用情况。在对患者进行评估并根据需要进行复苏后，对烧伤创面进行清洁和清创。评估为浅度的创面采用生物膜进行治疗。关节表面进行夹板固定以制动。在24小时和48小时时检查创面，如有积液则进行抽吸并更换创面敷料。当生物膜粘附后，创面用轻薄敷料覆盖，关节制动解除。与其他局部伤口护理相比，使用生物膜敷料具有一定优势。由于换药频率较低，因此可以进行门诊护理，从而缩短住院时间并降低烧伤护理的最终成本。可防止创面干燥并减轻疼痛。如果要使用生物膜，准确诊断创面深度至关重要。非常深的创面无法使生物膜粘附，如果创面细菌计数高也不会发生粘附。如果关节表面未进行夹板固定，生物膜会发生剪切且无法粘附于创面。凸面和凹面均可使用生物膜进行治疗，可能需要对生物膜进行网状处理。
