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目的:探讨深Ⅱ度烧伤创面伤后24h 内削痂的安全性和临床疗效。方法:12例有削痂手术指征并在伤后24h 内实施削痂术的深Ⅱ度烧伤患者为实验组,并选14例条件相似并按常规在伤后4～6d 行削痂术的深Ⅱ度烧伤患者作为对照组。结果:两组病人在休克期补液量、休克期休克征象发生上无显著差别,而实验组创面愈合天数为(19.08+5.31)d,较对照组(29.36±7.03)d 明显减少(P<0.01),同时实验组的休克期尿量明显增多,回吸收期的体温、心率较对照组明显改善。结论:深Ⅱ度烧伤创面伤后24h 内削痂是安全的,并能缩短创面平均愈合天数。
Objective: To investigate the safety and clinical effect of removing scab after 24h deep wound burn wounds. Methods: Twelve patients with deep second degree burn who had undergone tare scabbing operation and underwent tamper callus treatment within 24 hours after injury were selected as the experimental group. 14 cases with similar conditions were routinely excised and scabbings were performed 4 to 6 days after injury Deep second degree burn patients as control group. Results: There was no significant difference between the two groups in the volume of fluid during shock and the shock signs in shock stage. The wound healing days in the experimental group were (19.08 + 5.31) days, which were significantly lower than those in the control group (29.36 ± 7.03) days (P <0.01) ). At the same time, the urinary volume of the experimental group increased significantly during the shock period, and the body temperature and heart rate of the recovery period were significantly improved compared with the control group. Conclusion: It is safe to cut scab in deep second degree burn wounds within 24 hours and shorten the average wound healing days.