早期保守磨削痂延期植皮治疗颜面部煤尘燃爆深度烧伤

Early conservative eschar-scraping and delayed skin graft to cure deep burn on the face caused by coal-dust burning and blasting

目的探讨预防颜面部煤尘燃爆深度烧伤后严重毁容的治疗方法。方法对12例煤尘燃爆颜面部深度烧伤患者,早期采用保守磨削痂、延期植皮和双眼睑早期减张、扩张创面立即植皮的处置方式进行治疗。结果本组12例患者于伤后3周内创面全部愈合。随诊3个月,未发现明显瘢痕增生和畸形,面部表情自然,情绪表达充分。结论应用早期保守磨削痂延期植皮的方法,可促进全颜面创面尽快修复,减少瘢痕增生和颜面畸形的发生。

Objective To study effective treatment for deep burn on the face caused by coal-dust burning and blasting to prevent severe disfigurement. Methods Early conservative eschar-scraping, delayed skin graft, early strain-diminution for the eyelids in both sides, and wound expansion with skin graft were used to treat 12 patients with deep burn on their faces caused by coal-dust burning and blasting. Results Facial wound of all the 12 patients healed within three weeks after burn. No significant cicatricial hyperplasia and deformity were found on their faces during three-month follow-up, with natural facial expression and abundant emotion. Conclusions Early eschar-scraping and delayed skin graft for deep facial burn can promote fast repair of burn-wound, diminish cicatricial hyperplasia and prevent deformity on the face.