肿胀技术在小儿大面积烧伤手术中的应用

Application of tumescent technique in pediatric patients with large area burn

目的:探讨小儿大面积烧伤在不同时间进行一次性削痂植皮手术时运用注液肿胀止血法减少削痂过程中失血的临床效果观察。方法:观察组17例应用注液肿胀止血法止血,伤后7d内手术;对照组11例应用常规电凝止血和肾上腺素纱布止血,观察两组患者手术时机、手术失血量的关系及止血效果。结果:伤后7d内手术的患者应用注液肿胀止血法止血失血量明显少于7d后手术的患者,两组比较差异有统计学意义(P<0.01)。结论:在伤后7d内烧伤植皮手术中应用注液肿胀法,可明显减少削痂过程中的失血量。

Objective ： To study the use of liquid injection hemostasis swelling clinical effect to reduce blood loss during eschar in pediatric extensive burn at one - time cut excision surgery at different times. Methods： 17 p a-tients in the observation group were treated with injection swelling haemostasis within 7 days after injury; 11 cases in the control group used conventional electriccoagulation hemostasis and epinephrine hemostatic gauze. T h e opera-tive time and blood loss and hemostatic effect were observed between two groups of patients . Results：T h e blood loss was less than 7 days after the surgery within 7 days of surgery after injury with the application of liquid injection h e-mostasis swelling. There was significant difference between two groups （ P 〈 0. 01）. Conclusion ; Application of liquid injection swelling method of burn skin grafting operation can significantly reduce blood loss during eschar, within 7 days after the injury.