Munteanu A, Florescu I P, Nitescu C
Department of Plastic, Reconstructive Surgery and Burns, Clinical Emergency Hospital for Plastic, Reconstructive Surgery and Burns, Bucharest, Romania.
Department of Plastic Surgery and Reconstructive Microsurgery, "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.
J Med Life. 2016 Jul-Sep;9(3):306-315.
Burn wounds are a global public health problem, which affects all countries, no matter the development stage and occurs in all age groups, from toddlers to elderly. In spite of burns being the cause of numerous household and work accidents, there are still no clear stated unanimous rules for their treatment. Every day new products appear on the market, each of them trying to prove more effective. Since ancient times, silver has been known for its antimicrobial properties, so it has been used for a long time in the treatment of burns and other types of wounds. One of the relatively modern methods of treatment is applying silver sheets on the scald lesions. In this paper, which was part of a larger study (research for a PhD thesis), concerning prevention and treatment of the post-burn pathological scars, the cases of some patients with burns, who were treated by using the above mentioned method were presented and analyzed. The results obtained by applying silver sheets were then commented and interpreted, pointing out the advantages and disadvantages compared to silver sulfadiazine creams and ointments, which have already been used at a large scale. The prevention and treatment of post-burn pathological (hypertrophic and keloid) scars is a field in which still little is known and in which there are also no clearly set therapy plans. We hope that through this research and the following ones we will manage to establish some major guidelines concerning the prevention of pathological scars, which are not only disabling, but also a major aesthetic issue for any patient, in order to obtain better outcomes.
烧伤创面是一个全球性的公共卫生问题，影响着所有国家，无论其发展阶段如何，且发生于从幼儿到老年人的所有年龄组。尽管烧伤是众多家庭和工作事故的原因，但对于其治疗仍没有明确统一的规定。每天都有新产品上市，每一种都试图证明自己更有效。自古以来，银就因其抗菌特性而闻名，因此长期以来一直用于治疗烧伤和其他类型的伤口。一种相对现代的治疗方法是在烫伤创面敷用银片。本文是一项关于烧伤后病理性瘢痕预防和治疗的更大规模研究（博士论文研究）的一部分，介绍并分析了一些采用上述方法治疗的烧伤患者的病例。然后对应用银片获得的结果进行了评论和解读，指出了与已被广泛使用的磺胺嘧啶银乳膏和软膏相比的优缺点。烧伤后病理性（增生性和瘢痕疙瘩性）瘢痕的预防和治疗是一个仍知之甚少且尚无明确治疗方案的领域。我们希望通过这项研究及后续研究，能够制定一些关于病理性瘢痕预防的主要指导方针，病理性瘢痕不仅会导致功能障碍，对任何患者来说也是一个重大的美学问题，以便获得更好的治疗效果。
