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更进一步提高深度烧伤创面修复质量 被引量:21

Augmentation of quality of wound healing of deep burn
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摘要 深度烧伤是指深Ⅱ度以上的皮肤或皮下组织烧伤,创面愈合后往往留下瘢痕畸形,严重影响患者的功能及生活质量。深度烧伤创面的修复一直是烧伤医学研究的热点,由于创面的存在,不仅是局部,且牵涉到全身内环境的稳定,严重者导致感染及脓毒症而危及生命。 This article summarizes methods of repair of massive and deep wounds, elucidates bow to improve wound healing quality and avoid scar deformity after deep burn. A part of denatured dermis (non-necrotic)in deep partial-thickness burn, " mixed degree" burn, even in full-thickness burn wounds before forming eschar can be preserved and covered with autolo- gous skin, thereby to avoid secondary damage to the structure of subcutaneous tissue and the junction of dermis-adipose, thus to result in good functions, appearance, and survival rate. After skin grafting, wound healing quality and appearance are im- proved, joint function and elasticity of skin are enhanced, the degree of scar contracture is relieved due to preservation of nor- mal adipose tissue after escharectomy. The study of composite artifical skin will be actively developed in the future. Tissue-en- gineering skin and stem cells can be successfully used in pa- tients with deep burns for scarless healing with restoration of physiological functions in a short period.
作者 黄晓元
出处 《中华烧伤杂志》 CAS CSCD 北大核心 2009年第1期3-5,共3页 Chinese Journal of Burns
关键词 烧伤 皮肤移植 创面修复 Burns Skin transplantation Wound repair
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