手部Ⅲ度烧伤后期硬性水肿11例

Hard edema following third degree burned hands

Author report 11 burned cases with 17 hands of hard edema in the late stage of wound healing of escharectomy and skin grafting. Of them, 9 cases with 14 hands consisted severe bum involving extensors , phalangeal bones and joints with soft tissue continuing inflammation spreading into the dorsum of hand . The plentiful protein of inflamatory fluid was fibrous and became hard edema sequentially . The other 2 cases with 3 hands had been treated with escharectomy and mesh grafting on the dorsum of hand and circumferential forearm . Hand edema occurred too. This may be related the contraction of circumferential mesh grafting to impairment of lymphatic return . Accelerated covenng deep burn wounds and continual rehabilitation management can be help to hard edema . In this series 6 cases with 10 hands got good result following up . The other cases should continue to do rehabilitation and plastic repair .