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患者,女,66岁。于1995年2月27日入院。患者8 岁时被火焰烧伤右小腿,经多方治疗,创面愈合后留有较大瘢痕,并时有小溃疡发生。20年前又被猪咬伤该处,在当地治疗,经久不愈,后到某医院经植皮后愈合。但3年前瘢痕上又形成一溃疡面,迁延不愈。由于溃疡面较小,不妨碍行走劳动,故未进一步求治。1994年8月开始,溃疡渗液增多,有臭味,并迅速增大,伴有局部疼痛。入我院求治。入院查见患者一般情况良好,无明显消瘦,右小腿外侧遍布萎缩性瘢痕,呈棕黑色,质韧,瘢
Patient, female, 66 years old. Admitted to hospital on February 27, 1995. At the age of 8, the patient was burned to the right calf by a flame. After multi-treatment, a large scar was left after wound healing and a small ulcer sometimes occurred. Twenty years ago he was bitten by a pig, where healed and healed. He went to a hospital after healed by skin grafts. But three years ago, an ulcer surface was formed on the scar, which delayed healing. As the ulcer surface is smaller, does not hinder walking, so no further treatment. Beginning in August 1994, ulcer exudate increased, stink, and rapidly increased, accompanied by local pain. Into our hospital for treatment. Admitted to see patients in general good condition, no significant weight loss, right atrocnemius throughout the outer scars, was brown, tough, scar