通过早期切除和皮肤移植治疗100例烧伤手部。

Treatment of 100 burned hands by early excision and skin grafting.

作者信息

Krizek M, Robbe M, Bilterys L, Vandenbussche F

出版信息

Ann Chir Main. 1982;1(2):125-36. doi: 10.1016/s0753-9053(82)80068-9.

Abstract

The analysis of 101 cases has shown that early excision and grafting is the choice for hand burns. The indications are deep second degree and third degree burns. The excision is performed before the 4th post burn day, by tangential excision or direct knife dissection according to the site and depth. Immediate covering of all excised areas, usually by split-thickness skin autografts, is essential. The combination of early excision and grafting, active physiotherapy, Jobst compressive gloves and hydrotherapy guarantees the best cosmetic and functional results.

摘要

对101例病例的分析表明，早期切除并植皮是手部烧伤的治疗选择。适应症为深二度和三度烧伤。在烧伤后第4天之前进行切除，根据部位和深度采用削痂切除或直接手术刀切除。必须立即覆盖所有切除区域，通常采用自体中厚皮片移植。早期切除并植皮、积极的物理治疗、乔斯特压力手套和水疗相结合，可确保获得最佳的外观和功能效果。