摘要
报告我院整形外科1987年9月至1991年11月采用延迟游离植皮治疗33例面部大面积皮肤撕脱伤,面积最小57×cm,最大13×15cm,平均8×10cm,其中2例伴有脑外伤,4例伴有休克。即分急诊清创,换药及游离植皮三步进行治疗。皮片存活率93～98％,平均95％,随访30例,随访时间6个月至5年,皮片色泽好,质地柔软,无明显挛缩,外观满意。手术成功关键:1急诊清创面清创彻底,骨质外露区域以周围肌肉或软组织覆盖,2全身支持疗法;3合理使用抗生素。
33 cases of extensive facial skin laceration were treated by delayed free skin graft from Sept. 1987 to Nov. 1991. The defects areas varied from 5×7 cm to 13×15cm with a mean of 8×10 cm. Two cases had a complication of brain injury and four, a shock. All cases were treated by delayed free skin graft, i.e. early debridement, redress and free skin graft. The survival rate of the grafted skin was 92-98％, with an average of 95％. 30 cases were followed up between six months and five years, the grafted skins resembled original skins in its colour, felt soft and showed less secndary contracture. The key to success involves early debridement: systematic supporting treatment and use of effective antibiotics.
出处
《铁道医学》
1992年第6期327-328,共2页
Railway Medical Journal
关键词
皮肤
创伤
损伤
自体移植
skin trauma and injury transplantation, autologous.
