Dominic W J, Field T O, Hansbrough J F
Department of Surgery, UCSD Medical Center 92103.
J Burn Care Rehabil. 1987 Sep-Oct;8(5):395-7. doi: 10.1097/00004630-198709000-00012.
We present a case of extensive cutaneous chemical burns from sulfuric acid in a baby girl. The patient's age and the appearance of her wounds made it difficult to judge the depth of the wounds in the early stages of care. Because of the uniform appearance of the wounds and the large areas of injury, tangential excision was considered but delayed; the wounds were monitored with serial histologic biopsies for assessment of depth and progression of healing. The presence of viable dermal tissue and adnexal structures on histologic examination encouraged a program of observation and local wound care, which led to progressive healing of the wounds in 18 days. Histologic monitoring of the wounds proved to be a helpful adjunct in the clinical management of this difficult case.
我们报告一例女婴因硫酸导致大面积皮肤化学烧伤的病例。在护理初期，患者的年龄和伤口外观使得判断伤口深度变得困难。由于伤口外观一致且损伤面积大，曾考虑进行削痂术，但推迟了；通过连续组织活检监测伤口，以评估深度和愈合进展。组织学检查发现有存活的真皮组织和附属结构，这促使采取观察和局部伤口护理方案，伤口在18天内逐渐愈合。事实证明，对伤口进行组织学监测对这一疑难病例的临床管理是一种有用的辅助手段。
