Ou L F, Lee S Y, Chen Y C, Yang R S, Tang Y W
Department of Surgery, Veterans General Hospital-Taichung, Taipei, Taiwan.
Burns. 1998 Feb;24(1):49-53. doi: 10.1016/s0305-4179(97)00049-1.
This report describes 141 scalded children admitted from January 1993 to June 1995. The mean age of patients was 2 yr 11 months. The average burn size was 11.4 percent TBSA. The male to female ratio was 1.6:1 (87:54). One hundred and six of the children were initially diagnosed as suffering from superficial or medium partial-thickness burns. After proper evaluation and resuscitation, all of them received immediate debridement and Biobrane coverage. This biosynthetic dressing was fixed with adhesive tape and compressive dressing. No splints were used. Pain tolerance was good and these children were able to resume their daily activities as early as possible. If vital signs were stable and Biobrane adherence occurred, the patients were discharged. The dressings were easily changed on an out-patient basis; therefore, the hospital stay and ultimate cost of burn care both decreased. This experience confirmed that Biobrane is quite suitable for consideration in treating pediatric scalds. Accurate diagnosis of depth is very important. The best results can be obtained only on superficial partial-thickness burns. A high wound infection rate occurred in the medium partial-thickness burn wounds (7.8 vs. 62.1 percent).
本报告描述了1993年1月至1995年6月收治的141例烫伤儿童。患者的平均年龄为2岁11个月。平均烧伤面积为11.4%体表面积。男女比例为1.6:1（87:54）。其中106例儿童最初被诊断为浅度或中度部分厚度烧伤。经过适当评估和复苏后，所有患儿均立即进行清创并使用生物敷料覆盖。这种生物合成敷料用胶带和加压敷料固定。未使用夹板。患儿疼痛耐受性良好，能够尽早恢复日常活动。如果生命体征稳定且生物敷料粘贴牢固，患者即可出院。敷料在门诊很容易更换；因此，住院时间和烧伤护理的最终费用均有所降低。这一经验证实，生物敷料非常适合用于小儿烫伤的治疗。准确诊断深度非常重要。只有浅度部分厚度烧伤才能获得最佳效果。中度部分厚度烧伤创面的伤口感染率较高（7.8%对62.1%）。
