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生物膜在部分厚度和全厚度热损伤中的治疗效果。

Therapeutic efficacy of Biobrane in partial- and full-thickness thermal injury.

作者信息

McHugh T P, Robson M C, Heggers J P, Phillips L G, Smith D J, McCollum M C

出版信息

Surgery. 1986 Oct;100(4):661-4.

PMID:3532390
Abstract

Cadaver allograft skin, porcine xenograft skin, and amniotic membranes have been proved to be adequate temporary thermal wound coverings in four clinical situations: coverage of shallow wounds while awaiting epithelialization (SW), coverage of deep wounds after eschar excision (DEW), coverage of widely meshed autograft while awaiting closure of interstices (AC), and coverage of massive donor sites (DS). This study was undertaken to evaluate the therapeutic efficacy of a new biosynthetic bilaminate dressing, Biobrane. Two hundred one applications of Biobrane were studied in 82 SW, 46 DEW, 19 AC, 54 DS. A total of 124 applications were left in place until healing occurred, with a mean healing time of 12.8 days. Sixty of SW, 10/46 DEW, 10/19 AC, and 44/54 DS remained intact until complete healing. Only four DEW, two SW, and 0 AC applications had to be removed because of suppuration. Twenty five of the applications (SW and DEW) with the Biobrane glove had rare complications.

摘要

尸体同种异体皮肤、猪异种异体皮肤和羊膜已被证明在四种临床情况下是合适的临时热伤口覆盖物:在等待上皮化时覆盖浅伤口(SW)、焦痂切除后覆盖深伤口(DEW)、在等待间隙闭合时覆盖广泛网状自体移植物(AC)以及覆盖大面积供皮区(DS)。本研究旨在评估一种新型生物合成双层敷料Biobrane的治疗效果。在82例SW、46例DEW、19例AC、54例DS中对Biobrane进行了201次应用研究。共有124次应用保留至愈合,平均愈合时间为12.8天。60例SW、10/46例DEW、10/19例AC和44/54例DS在完全愈合前保持完整。只有4例DEW、2例SW和0例AC应用因化脓而不得不移除。使用Biobrane手套的25次应用(SW和DEW)有罕见并发症。

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Therapeutic efficacy of Biobrane in partial- and full-thickness thermal injury.生物膜在部分厚度和全厚度热损伤中的治疗效果。
Surgery. 1986 Oct;100(4):661-4.
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[Preliminary study on the improvement of wound microcirculation and retrospection on several methods of the management of deep partial thickness burn wound].[改善创面微循环的初步研究及几种深Ⅱ度烧伤创面处理方法的回顾]
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The Use of Biologic Scaffolds in the Treatment of Chronic Nonhealing Wounds.生物支架在慢性难愈合伤口治疗中的应用
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Skin substitutes: An Indian perspective.皮肤替代物:印度视角
Indian J Plast Surg. 2012 May;45(2):388-95. doi: 10.4103/0970-0358.101322.
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A Randomized, Prospective Study of the Treatment of Superficial Partial-Thickness Burns: AWBAT-S Versus Biobrane.一项关于浅表性部分厚度烧伤治疗的随机前瞻性研究:AWBAT-S与生物膜的对比
Eplasty. 2011 Feb 24;11:e10.
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Experience with biobrane: uses and caveats for success.生物膜的应用经验:成功的使用方法及注意事项
Eplasty. 2009 Jun 26;9:e25.
6
[Early surgical management of severe burns].[严重烧伤的早期手术治疗]
Unfallchirurg. 2006 Apr;109(4):270-7. doi: 10.1007/s00113-006-1073-x.