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目的:分析和总结1987年以来速冻玻璃化储存皮临床应用情况。方法:收集我科1987年至1999年使用速冻玻璃化储存的异体皮救治烧伤病人和我科皮库储存异体皮国内使用情况的相关资料,并进行总结和分析。结果:使用速冻玻璃化异体皮的烧伤病人平均烧伤面积为55.4%,其中平均Ⅲ°面积为30.9%,应用异体皮面积为3466~10208 cm~2。采用速冻玻璃化保存的皮肤复温后其活力可达到新鲜皮肤的70%左右,该法保存的皮肤质地柔软、转红快、成活率高、存活期长,最长可在病人创面上成活2个月左右。术后异体皮成活率为95%。从1987年至1999年底我科皮库供全国各地18个省和3个自治区的48个市,8个县的108家各级医院冷冻异体皮使用,包括我科使用皮肤面积共达3,604,260 cm~2。结论:采用速冻玻璃化储存的异体皮覆盖创面,仍是目前最有效、最方便、经济实惠的方法,使用异体皮进行烧伤的救治已经成为国内大多数医院普遍使用的一项救治措施。
OBJECTIVE: To analyze and summarize the clinical application of frozen frozen vitrified skin since 1987. Methods: The data about the domestic use of cryopreserved allogeneic bark for the treatment of burns and mycoplasma from 1989 to 1999 in our department were collected and analyzed. RESULTS: The average burns area of burn patients using frozen vitrified allograft was 55.4%, with average Ⅲ ° area of 30.9% and allograft skin area of 3466-10208 cm ~ 2. Frozen vitrified skin rejuvenation after its vitality can reach about 70% of fresh skin, the skin preservation method of the soft texture, turn red fast, high survival rate, long survival, the longest in the patient’s wound survival 2 About a month. Allogeneic skin survival rate was 95%. From 1987 to the end of 1999, my Kupi library was used for freezing allogeneic skins in 108 hospitals of 48 cities and 8 counties in 18 provinces and 3 autonomous regions of China, including 3,604,260 cm ~ 2. Conclusion: It is still the most effective, convenient and economical method to cover wounds with frozen vitrified allogeneic skin. The treatment of burn with allogeneic skin has become a commonly used treatment in most hospitals in China.