Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, Vienna, Austria.
Division of Plastic and Reconstructive Surgery, University Hospital of St. Pölten, St. Pölten, Austria.
Wien Klin Wochenschr. 2021 Mar;133(5-6):202-208. doi: 10.1007/s00508-020-01757-z. Epub 2020 Oct 30.
The face is affected in more than 50% of patients with extensive burn trauma. Effective treatment is of importance to avoid hypertrophic scarring, functional impairment and social stigmatization.
All patients treated with Acticoat7™ due to superficial and deep partial thickness burns of the face between 2008 and 2017 at the intensive care unit (ICU) for burn trauma at the Department for Plastic and Reconstructive Surgery of the Medical University of Vienna were retrospectively analyzed. Patients were evaluated for the number of required dressing changes until complete re-epithelialization, bacterial colonization, potential complications and the need for primary and secondary surgery.
A total of 100 patients were analyzed. It took a median dressing change rate of 1 (range 0-5) in the superficial partial thickness and 3 (range 1-11) in the deep partial thickness group. Conservative treatment of deep partial thickness wounds was possible in 79% and 17% of these patients required secondary scar revision. Although bacterial colonization of the wounds frequently occurred, wound infections were rarely observed.
Acticoat7™ is a valuable dressing for treating superficial and deep partial thickness burn wounds of the face in an intensive care unit setting. It enables extended time intervals between dressing changes without an increased risk for complications.
超过 50%的大面积烧伤患者面部会受到影响。有效的治疗对面部避免增生性瘢痕、功能障碍和社会污名化非常重要。
2008 年至 2017 年期间，维也纳医科大学整形与重建外科部烧伤重症监护病房（ICU）对所有因面部浅Ⅱ度和深Ⅱ度烧伤而使用 Acticoat7™的患者进行了回顾性分析。评估患者需要更换敷料的次数，直到完全上皮化、细菌定植、潜在并发症以及是否需要进行初次和二次手术。
共分析了 100 例患者。浅Ⅱ度烧伤患者的平均更换敷料次数为 1 次（范围 0-5 次），深Ⅱ度烧伤患者的平均更换敷料次数为 3 次（范围 1-11 次）。79%的深Ⅱ度烧伤患者可进行保守治疗，这些患者中有 17%需要进行二次瘢痕修整。尽管伤口经常发生细菌定植，但很少发生伤口感染。
Acticoat7™是一种在重症监护病房治疗面部浅Ⅱ度和深Ⅱ度烧伤的有价值的敷料。它可以延长更换敷料的时间间隔，而不会增加并发症的风险。
