Nakamura D Y, Gibran N S, Mann R, Engrav L H, Heimbach D M, Dutcher K D, Grube B J
University of Washington Burn Center, Harborview Medical Center, Seattle 98104, USA.
J Burn Care Rehabil. 1998 Jul-Aug;19(4):349-51.
The goal of this study was to develop a postoperative plan for sheet grafts that would protect the graft, yet would also eliminate the need for daily wound care. Eleven pediatric patients (13 arms burns) who underwent excision and grafting were included in our study. The total area on the arm ranged from 1% to 5% total body surface area. All grafts were sheet grafts held in place with steri-strips or sutures. The grafts were covered with a layer of greasy gauze, followed by an Unna done paste dressing, and then an elastic bandage. The Unna "sleeve" remained in place for an average of 6 days (range, 3 to 10 days). In eight cases, a second Unna sleeve was applied and removed 6 to 7 days later. In all 13 cases, additional wound care for grafts was unnecessary, and patients did not require extended inpatient hospitalization. Graft take was 100% in all cases, and no reconstruction was required.
本研究的目的是制定一种用于片状移植皮片的术后方案，该方案既能保护移植皮片，又能消除每日伤口护理的必要性。我们的研究纳入了11例接受切除和植皮手术的儿科患者（13只手臂烧伤）。手臂上的总面积占全身表面积的1%至5%。所有移植皮片均为使用无菌胶带或缝线固定在位的片状移植皮片。移植皮片上覆盖一层油腻纱布，接着是优锁糊剂敷料，然后是弹性绷带。优锁“袖套”平均保留6天（范围为3至10天）。在8例病例中，应用了第二个优锁袖套，并在6至7天后拆除。在所有13例病例中，均无需对移植皮片进行额外的伤口护理，患者也无需延长住院时间。所有病例的移植皮片成活率均为100%，且无需进行重建。
