严重烧伤患者的早期治疗与功能恢复  

Early Treatment and Physical Function Recovery of Severe Burn Patients

作　　者：陈璧[1] 贾赤宇[1] 苏映军[1] 徐明达[1] 朱雄翔[1] 

机构地区：[1]第四军医大学西京医院烧伤外科,西安710032

出　　处：《中国康复》2001年第1期29-30,共2页Chinese Journal of Rehabilitation

摘　　要：目的探讨严重烧伤患者早期治疗与功能训练的最佳方案。方法 9例烧伤面积 >90 % , 度 >70 %患者采用同一部位反复供皮和 度烧伤愈合后供皮以扩大皮源 ,以异体与自体皮相间移植和大片筛状皮移植为主 ,同时在创面愈合后即开始物理治疗和功能训练。结果 9例患者中 3例恢复工作 ,6例能做些家务劳动 ,生活完全自理。结论严重烧伤患者早期采取有效的植皮措施和功能训练是提高治愈率、减少并发症 。Objective To investigate the optimal scheme for early treatment and the physical function restoration. Methods Nine burn patients with burnt area >90 % of total body surface area (TBSA) and full thickness burnt area >70 % of TBSA were studied. In each of the skin grafts, donor cutaneous sheets were harvested repeatedly from the same sites or from healed area of partial thickness burnt wounds to enlarge the donor areas. For most of the wounds large autogenic mesh sheets grafting and modified Jackson's technique of autogenic allogenic skin strip grafting were adopted. At the same time, physical therapy and function training were performed after wounds healed. Results Of the 9 patients, 3 restored to work and 6 could engage in the housework. Conclusion Early skin transplantation and function training in the patients with severe burn could increase the curative rate, decrease the incidence of the complications and promote the function recovery.

关 键 词：烧伤 皮肤移植 功能训练 体育疗法 

分 类 号：R644[医药卫生—外科学]