论文部分内容阅读
目的探讨低热烧伤创面的特点及治疗方法,提高生存质量。方法手术组(12例):切除坏死组织后自体断层皮片移植或旋转皮瓣转位修复创面。换药组(15例):0.25%碘伏消毒创面、涂磺胺嘧啶银霜喷重组人表皮细胞生长因子,隔日换药。观察创面完全上皮化所需时间,瘢痕增生情况,治疗总费用。结果创面愈合时间:换药组(74.46±6.18)d,手术组(24.46±6.18)d;治疗总费用:换药组(1 800±60)元,手术组(1 500±50)元。两组比较差异有统计学意义(P<0.05)。瘢痕增生:换药组明显(15/15例),奇痒难忍。手术组:创面一期愈合,供区留下线形瘢痕。结论认知水平及病理变化的特殊性是临床误诊的主要原因。低热烧伤是可预防的,尽早手术可以减轻患者痛苦,减少感染机会,缩短病程、降低医疗费用、减少瘢痕增生。
Objective To investigate the characteristics and treatment of low-temperature burn wounds to improve the quality of life. Methods The operation group (12 cases): the autologous transplanted skin flap or the transposition of the rotary flap after the necrotic tissue was excised to repair the wound. Dressing group (15 cases): 0.25% iodophor disinfection wounds, coated with sulfadiazine silver cream spray recombinant human epidermal cell growth factor, dressing replacement every other day. Observe wound completely epithelialization time, scar hyperplasia, the total cost of treatment. Results The wound healing time was 74.46 ± 6.18 days in the dressing group and 24.46 ± 6.18 days in the operation group. The total cost of the dressing group was 1 800 ± 60 in the dressing group and 1 500 ± 50 in the operation group. The difference between the two groups was statistically significant (P <0.05). Scar hyperplasia: dressing group was significantly (15/15 cases), itchy unbearable. Surgical group: The wound was healed at one time, leaving a scar for the area. Conclusion The particularities of cognitive level and pathological changes are the main causes of clinical misdiagnosis. Low-temperature burns are preventable. As soon as possible surgery can reduce the patient’s suffering, reduce the chance of infection, shorten the course of the disease, reduce medical costs and reduce scarring.