CAJ | 학술논문

目的：探讨小儿深度烧伤的临床特点及手术治疗方案。方法对2008年至2011年收治的共20例0～6岁，烧伤面积3％～45％体表总面积的小儿深度烧伤患者，采取早期液体复苏、有效的创面处理、合理选择手术方案、全身营养支持等综合治疗措施。结果20例患儿经一次手术创面完全愈合，术后4例电击伤共9只手指皮片挛缩明显，手指屈伸受限，2例髁部受皮区有瘢痕增生，皮片挛缩，余12例肢体创面皮片愈合良好。结论小儿深度烧伤患者，在积极有效的创面处理及全身营养支持基础上，手术方式以修复创面为主，可获较满意的后期功能与外形。
목적：탐토소인심도소상적림상특점급수술치료방안。방법대2008년지2011년수치적공20례0～6세，소상면적3％～45％체표총면적적소인심도소상환자，채취조기액체복소、유효적창면처리、합리선택수술방안、전신영양지지등종합치료조시。결과20례환인경일차수술창면완전유합，술후4례전격상공9지수지피편련축명현，수지굴신수한，2례과부수피구유반흔증생，피편련축，여12례지체창면피편유합량호。결론소인심도소상환자，재적겁유효적창면처리급전신영양지지기출상，수술방식이수복창면위주，가획교만의적후기공능여외형。
Objective To explore the clinical features and surgical treatment regimens in the treatment of children with deep burns.Methods A total of 20 cases of deep burns involving 0 to 6-year-old children with a total body surface area ( TBSA) of 3%-45%were admitted in our hospital from 2008 to 2011 and were comprehensively treated with early fluid resuscitation , effective wound surface management , selection of proper surgical regimens and systemic nutritional support .Results After one surgery , wound surface of all the 20 cases healed completely , following surgical treatment .In the 4 cases of electrical injury , skin graft contracture and restric-tion of flexion and extension of nine fingers could obviously be noted;in another 2 cases of condyle recipient site , scar proliferation and skin graft contracture were quite obvious;and in the remaining 12 cases, skin grafts in the limb surface healed quite well after surgery . Conclusion Satisfactory recovery of physiological functions and better outward appearance could be achieved in child patients following effective treatment of wound surface and surgical repair of wound surface coupled with systemic nutritional support .