Flynn G L, Behl C R, Linn E, Higuchi W I, Ho N F, Pierson C L
Burns Incl Therm Inj. 1982 Jan;8(3):196-202. doi: 10.1016/0305-4179(82)90088-2.
The permeability of eschar is an important factor governing rational approaches to topical control of burn wound sepsis. Previous work has shown the burn wound to have a highly variable permeability immediately after burning depending on the manner of burning. But the burn is also a dynamic wound and its physical state changes during the process of maturation. The present studies are an early attempt to characterize wound permeability as a function of maturation. Hairless mice were burned dorsally for 15 seconds on a metal surface maintained at 80 degree C. The time and temperature conditions were chosen to effect a deep partial-thickness to full-thickness injury on the animal. Mice were sacrificed daily post burn over a 2-week period and the permeabilities of 3H-methanol and 14C-butanol through the excised eschar were measured. Te eschar permeability coefficients were directly compared to permeability coefficients for the same compounds found with abdominal skin sections taken concurrently from each animal. It was observed that the branding initially caused a 50 per cent increase in the permeability of methanol and a 300-400 per cent increase in the permeability of maturation. Thereafter permeabilities tended to increase, gradually at first, but accelerating to a maximum which was observed at approximately 10 days. At the maximum, methanol's permeability was 20 times and butanol's 12 times their normal values. For both compounds permeability of eschar decreased past the maximum until termination of the studies at 14 days.
焦痂的通透性是决定烧伤创面脓毒症局部控制合理方法的一个重要因素。先前的研究表明,烧伤后创面的通透性在烧伤后即刻因烧伤方式不同而有很大差异。但烧伤也是一个动态的创面,其物理状态在愈合过程中会发生变化。本研究是将创面通透性作为愈合函数进行表征的早期尝试。将无毛小鼠背部在80摄氏度的金属表面上烧伤15秒。选择这样的时间和温度条件是为了在动物身上造成深Ⅱ度至Ⅲ度损伤。在烧伤后的2周内每天处死小鼠,测量3H-甲醇和14C-丁醇通过切除的焦痂的通透性。将焦痂通透性系数直接与从每只动物同时采集的腹部皮肤切片中相同化合物的通透性系数进行比较。观察到,烧伤最初使甲醇的通透性增加了50%,丁醇的通透性增加了300 - 400%。此后,通透性趋于增加,起初逐渐增加,但加速至约10天时达到最大值。在最大值时,甲醇的通透性是其正常值的20倍,丁醇是12倍。对于这两种化合物,焦痂的通透性在达到最大值后下降,直至14天研究结束。