小儿色素性巨痣诊断标准探讨及围手术期处理  

Diagnostic Criteria and Perioperative Treatment of Griant Pigmented Nevi of Children

作　　者：邢溢庆 梁彦辉[1] 孙国德[1] 常耕卫[1] 朱毅[1] 

机构地区：[1]天津市第四医院烧伤整形科天津市烧伤研究所,300222

出　　处：《天津医药》2003年第7期431-432,共2页Tianjin Medical Journal

摘　　要：目的 :探讨符合小儿生理条件的色素性巨痣诊断标准及围手术期处理。方法 :以达到小儿体表面积5 %作为小儿色素性巨痣的诊断标准。一次手术切除病变组织不超过体表面积的3 %～5 % ,如需切除继发创面以同种异体皮或辐射异种皮覆盖 ,同时监测患儿生命体征、血红蛋白、血红细胞压积、尿量、创面情况。结果:20例患儿巨痣均行分次根治切除。除1例1次因切除面积超过5 %同时又未行同种异体皮覆盖 ,临床出现术区渗出液较多、血容量不足等症状经及时处理症状缓解外 ,所有患儿围手术期度过平稳。所有创面均Ⅰ期愈合。结论:应用上述诊断标准及手术方法可客观反映巨痣病变范围在小儿自身的严重程度 。Objective:To study the diagnostic criteria and perioperative treatment of griant pigmented nevi of children.Methods:When the children's nevi accounted5percent of body surface area,the diagnostic criteria set up.Pathological tissue accounting for3～5percent of body surface area would be resected safely once.The raw surface could be covered with allograft of skin or radiated heterograft of skin.The T.P.R.as well as HGB,HCT,urine volume and wound condition of the patients,should be monitored.The nevi of20patients were reˉsected.Results:Because the resected area exceeded5percent of body surface area and did not be covered with heterograft of skin in one case,it was suffered from super_seepage in operational area and a low blood volˉume.Except it,all cases went through the perioperation safely and their wounds healed up by first intenˉtion.Conclusion:The diagnostic criteria can objectively reflect the nevi's sererity and ensure perioperation safety of child to a maximum.

关 键 词：色素性巨痣 痣 诊断标准 围手术期处理 小儿 手术方法 

分 类 号：R758.51[医药卫生—皮肤病学与性病学]