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磨削+生物敷料覆盖改善烧伤创面微循环的临床观察
引用本文:吴敏,刘惕,王龙村,李玲巧. 磨削+生物敷料覆盖改善烧伤创面微循环的临床观察[J]. 中国微循环, 2006, 10(6): 440-441
作者姓名:吴敏  刘惕  王龙村  李玲巧
作者单位:213000,江苏省常州市第一人民医院
摘    要:目的磨痂+生物敷料覆盖面部烧伤创面后,改善了局部微循环,加速了创面愈合。方法面部深Ⅱ°创面采用普通钢丝球和电动磨痂机粗细兼顾,磨去创面坏死层,以基底泛红,有针尖状出血点为止,然后用生物敷料覆盖,创面愈合后一年内随访。结果本组病人48例,创面愈合时间7~12 d,平均10.5 d。45例肤色正常,皮肤弹性好,2例有花斑状色素沉着,1例有轻度的疤痕增生。结论磨痂+生物敷料覆盖可以改善局部的微循环,防止烧伤后微血栓的形成,阻断伤后进行性加重,能加速创面愈合。

关 键 词:磨痂  生物敷料  再血管化  清创
文章编号:1007-8568(2006)06-0440-02
收稿时间:2006-01-04
修稿时间:2006-04-24

Revascularization of Burned Wound Treated with Biological Dressing after Dermabrasion
WU Min,LIU Ti,WANG Long-cun,et al.. Revascularization of Burned Wound Treated with Biological Dressing after Dermabrasion[J]. Journal of Chinese Microcirculation, 2006, 10(6): 440-441
Authors:WU Min  LIU Ti  WANG Long-cun  et al.
Affiliation:WU Min,LIU Ti,WANG Long-cun,et al.Departement of Burn Surgery,Changzhou First Peaple's Hospital,Suzhou University,Changzhou Jiangsu 210003,China
Abstract:Objective To observe revascularization of burned wound treated with biological dressing after dermabrasion.Methods The bruned facial wounds were abraded with wire brush and electric abrading machine.Necrosed layer of the wound was removed and the base was bleeding,then it was covered with biological dressing.The patients were followed up for one year.Results The wound healing time of 48 cases was from 7 to 12 days,mean healing time was 10.5 days.The healed wound had normal color with good elasticity in 45 cases.There was spotted pigment in 2 cases and scar hyperplasia in 1 case.Conclusion Biological dressing after dermabrasion can improve microcirculation of the wound,increase tissue blood supply and speed up wound healing,which made the treatment simple and cheap.It had good social effects and economic benefit.
Keywords:Dermabrasion   Biological dressing   Revaseularization   Debridement
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