老年患者中一些特殊皮肤撕脱伤的治疗体会  

Some special treatment of skin avulsion for the elderly patients

作　　者：张志华[1] 王肃生[1] 梁刚[1] 冀航[1] 侯春[1] 

机构地区：[1]广州医科大学第一附属医院整形外科,广州510120

出　　处：《岭南现代临床外科》2014年第6期659-661,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨老年患者中一些特殊皮肤撕脱伤的特点及治疗体会。方法回顾分析收治的22例特殊老年皮肤撕脱伤患者的诊治,撕脱皮肤均采用清创后原位缝合、加压包扎的治疗方法。结果 21例患者中再植皮片全部或大部分成活,1例因感染导致皮片坏死,经清创后二次植皮愈合,经4个月至3年随访,回植皮肤弹性、感觉及活动度良好。结论因此类老年患者皮肤损伤存在撕脱层次浅、撕脱皮肤损伤不重的特点,采用清创后原位缝合、加压包扎的治疗可取得满意的效果。Objective To investigate the characteristic and experience of special skin avulsion＇s treatment with elderly patients. Methods According to 22 cases of special patients tearing for the diagnosis and treatment,avulsion skin are used after debridement suture in situ, pressurized bandaging treatment method. Results All the grafts or most survived,one cases caused a skin graft necrosis by infection, skin graft healing later. From 4 months to 3 years, feeling and activity are good after the replantation skin. Conclusion The features of elderly patients with shallow, less trauma, the clear suture and bandaging treatment can obtain satisfactory effect.

关 键 词：老年患者 皮肤撕脱伤 原位再植 

分 类 号：R622.1[医药卫生—整形外科]