Haith L R, Moss B E, Kraut J D, Patton M L, Germain T J
Department of General Surgery, Crozer-Chester Medical Center, Upland, PA 19013-3995, USA.
J Burn Care Rehabil. 1998 Jan-Feb;19(1 Pt 1):59-61. doi: 10.1097/00004630-199801000-00013.
Additional morbidity may be associated with standard split-thickness skin graft donor sites in elderly (65 years or older) patients with burn injuries. In an attempt to minimize the area of the donor sites and maximize autografts, we describe a new technique that uses trilaminar harvesting of skin grafts with dermolipectomy closure, and permanent coverage of the autograft layers achieved with cultured epithelial autografts in an elderly burn victim. An 80-year-old man was admitted with a 15% total body surface area burn to the bilateral lower extremities and buttocks. All meshed split-thickness skin grafts (12) applied showed excellent take, and it was reported that the cultured epithelial autograft take was approximately 90%. All dermolipectomy sites healed without infection. Our procedure proved to be a useful technique in the permanent closure of full- and partial-thickness burns in an elderly patient admitted to the burn unit.
对于老年（65岁及以上）烧伤患者，标准的中厚皮片供区可能会带来额外的并发症。为了尽量减少供区面积并最大化自体皮移植，我们描述了一种新技术，即在一名老年烧伤患者中采用三层皮片采集并结合皮肤切除闭合术，并用培养的自体上皮细胞永久覆盖自体皮片层。一名80岁男性因双侧下肢和臀部15%的体表面积烧伤入院。所有应用的12片网状中厚皮片均成活良好，据报道培养的自体上皮细胞成活率约为90%。所有皮肤切除部位均愈合且无感染。我们的手术方法被证明是一种用于烧伤病房收治的老年患者全层和部分厚度烧伤永久闭合的有效技术。
