大面积皮肤撕脱伤“皮片化”原位植皮（附54例报告）

Transplantation of Skin Grafting Treatment for Extensive Avalsion Injury of Skin (Report of 54 Cases)

我们采取早期将撕脱皮肤作＂皮片化＂处理，然后原位缝合覆盖创面治疗大面积皮肤撕脱伤，自１９８５年以来共收治病人５４例，疗效满意。我们认为皮片成活的关键是：（１）彻底清创。（２）＂皮片化＂处理。（３）引流通畅。皮肤处理愈薄，成活率愈高。引流通畅可防止皮片浮动而坏死。合并骨折时，以手法复位、牵引或石膏外固定等方法为主，尽量减少使用内固定。

The authors treated extensive avalsion injury of limb,which managed avulsion limb skin into 'Skin grafting',and then put it back in the original pleace for covering the extensive sore,Fifty-four patients have been treated with the same method since 1985;The result is good.The key of survival of transplantation 0f 'Skin grafting'is based on debridment,skin grafting handling and unostructed drainage. The thinner the skin grafting handles,the higher the survival rate is.The unostracted drainge can prevent the float of skin grafting that may cause necrosis of skin. Manual reduction,extration or plaster external fixation should be used electively when combined with fracture,and internal fixation as avoided much as possible.