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目的:介绍小儿头面部烧伤的治疗体会。方法:4个月～14岁小儿头面部烧伤共160例,TBSA5％～48％。采用1‰新洁尔灭彻底清创后,外涂3％磺胺嘧啶银混悬液或烧伤酊剂,暴露创面。Ⅲ度伤创面早期切痂等治疗;对深Ⅱ度和Ⅲ度伤患儿,在治疗创面的同时给予芙康片口服,愈后涂芙康膏并辅以弹力面罩压迫等治疗,以减轻瘢痕增生、结果;160例患儿全部治愈,深Ⅱ度以下创面全部一期愈合;瘢痕增生较轻。6例因创面感染严重,愈合时间长,且瘢痕增生严重。结论:小儿头面部烧伤,应特别重视愈合的质量,尽可能地减轻瘢痕的增生。
Objective: To introduce the treatment of head and face burns in children. Methods: Four months to 14 years old children with head and face burn in 160 cases, TBSA5% ~ 48%. After 1 ‰ benzalkonium bromide was completely debrided, 3% silver sulfadiazine suspension or burn tincture was applied to expose the wound. Ⅲ degree wound wounds such as early escharectomy; for children with deep second degree and third degree wounds, while in the treatment of wounds Fukang tablets oral Tu Fu Kang cream and supplemented with elastic mask oppression treatment to reduce scar hyperplasia, Results All of the 160 cases were cured, the wounds below the deep second degree all healed in the first period, and the scar hyperplasia was lighter. 6 cases of severe wound infection, healing time, and severe scar hyperplasia. Conclusion: Children with facial burns should pay special attention to the quality of healing, as far as possible to reduce scar hyperplasia.