20例小儿深度烧伤手术治疗的疗效观察

目的：探讨小儿深度烧伤的临床特点及手术治疗方案。方法对2008年至2011年收治的共20例0～6岁，烧伤面积3％～45％体表总面积的小儿深度烧伤患者，采取早期液体复苏、有效的创面处理、合理选择手术方案、全身营养支持等综合治疗措施。结果20例患儿经一次手术创面完全愈合，术后4例电击伤共9只手指皮片挛缩明显，手指屈伸受限，2例髁部受皮区有瘢痕增生，皮片挛缩，余12例肢体创面皮片愈合良好。结论小儿深度烧伤患者，在积极有效的创面处理及全身营养支持基础上，手术方式以修复创面为主，可获较满意的后期功能与外形。

Surgical treatment of children with deep burns

Objective To explore the clinical features and surgical treatment regimens in the treatment of children with deep burns.Methods A total of 20 cases of deep burns involving 0 to 6-year-old children with a total body surface area （ TBSA） of 3%-45%were admitted in our hospital from 2008 to 2011 and were comprehensively treated with early fluid resuscitation , effective wound surface management , selection of proper surgical regimens and systemic nutritional support .Results After one surgery , wound surface of all the 20 cases healed completely , following surgical treatment .In the 4 cases of electrical injury , skin graft contracture and restric-tion of flexion and extension of nine fingers could obviously be noted;in another 2 cases of condyle recipient site , scar proliferation and skin graft contracture were quite obvious;and in the remaining 12 cases, skin grafts in the limb surface healed quite well after surgery . Conclusion Satisfactory recovery of physiological functions and better outward appearance could be achieved in child patients following effective treatment of wound surface and surgical repair of wound surface coupled with systemic nutritional support .