摘要
我科1982年～1988年6月收治小儿烧伤276例,占烧伤总数38.3%。收治小儿烧伤后疤痕增生,挛缩畸形,功能障碍,要求整形治疗者127例,占同期小儿烧伤数46%。本文通过这两组病例,重点讨论小儿烧伤创面的早期处理,与后期畸形的关系。对小儿烧伤创面的判断,手术时机,手术方法的选择及如何减少伤后疤痕挛缩,功能障碍等问题作了初步分析探讨。
This article discusses the relationship between early wound treatment and late deformity inburned children.The writer believes the main causes of late deformity are as follows:to treatdeep second burn wound too conservatively; to use pinch skin graft on functional position andtoo large ratio of mesh graft: to take skin too thick from donor area; no proper pressuredressing and rehabilitation after grafting. The better results can be obtained. if the early burn wounds are treated with someplastic surgical points of view and the deformites are corrected within half year postburnalthough the scar is still unstable.
