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目的探讨早期削痂植皮、异体皮覆盖治疗以Ⅱ°创面为主的大面积烧伤的效果。方法本组21例分别在72小时内实施削痂手术。同时切取自体刃厚皮,制成小皮片,植于削痂后的深度创面上,并将备用的大张异体皮复温后,覆盖全部创面,缝合固定,加压包扎,术后72小时后打开敷料暴露。结果一次手术治愈13例,再次手术植皮者8例,平均手术次数1.54次。皮片成活率为97.0%,创面平均愈合时间(18.0±2.3)天。经5~12个月随访,供、受皮区末见明显瘢痕。结论以Ⅱ°创面为主的大面积烧伤早期削痂植皮,异体皮覆盖,可减轻感染、缩短疗程、提高治愈率和愈合质量。
Objective To investigate the effect of early eradicating scabbard skin graft and allogeneic skin covering for the treatment of large area burn with Ⅱ ° wound. Methods The group of 21 cases were implemented within 72 hours of removal of scab surgery. At the same time cut the self-blade thick skin, made of small skin graft, implanted in the depth of excision of the wound, and the spare large body after skin rewarming, covering all the wounds, sutured, pressure dressing, 72 hours after operation After opening the dressings exposed. Results of a surgical cure in 13 cases, 8 cases of reoperation skin grafting, the average number of operations 1.54 times. Skin graft survival rate was 97.0%, wound healing time (18.0 ± 2.3) days. After 5 to 12 months of follow-up, for the end of the skin showed obvious scar. Conclusion In the early stage of large area burn with Ⅱ ° wound, the skin of the scab was cut and covered with allogeneic skin, which can reduce infection, shorten the course of treatment and improve the cure rate and healing quality.