CAJ | 학술논문

目的：探讨老年患者中一些特殊皮肤撕脱伤的特点及治疗体会。方法回顾分析收治的22例特殊老年皮肤撕脱伤患者的诊治，撕脱皮肤均采用清创后原位缝合、加压包扎的治疗方法。结果21例患者中再植皮片全部或大部分成活，1例因感染导致皮片坏死，经清创后二次植皮愈合，经4个月至3年随访，回植皮肤弹性、感觉及活动度良好。结论因此类老年患者皮肤损伤存在撕脱层次浅、撕脱皮肤损伤不重的特点，采用清创后原位缝合、加压包扎的治疗可取得满意的效果。
목적：탐토노년환자중일사특수피부시탈상적특점급치료체회。방법회고분석수치적22례특수노년피부시탈상환자적진치，시탈피부균채용청창후원위봉합、가압포찰적치료방법。결과21례환자중재식피편전부혹대부분성활，1례인감염도치피편배사，경청창후이차식피유합，경4개월지3년수방，회식피부탄성、감각급활동도량호。결론인차류노년환자피부손상존재시탈층차천、시탈피부손상불중적특점，채용청창후원위봉합、가압포찰적치료가취득만의적효과。
Objective To investigate the characteristic and experience of special skin avulsion’s treatment with elderly patients. Methods According to 22 cases of special patients tearing for the diagnosis and treatment,avulsion skin are used after debridement suture in situ, pressurized bandaging treatment method. Results All the grafts or most survived,one cases caused a skin graft necrosis by infection, skin graft healing later. From 4 months to 3 years, feeling and activity are good after the replantation skin. Conclusion The features of elderly patients with shallow, less trauma, the clear suture and bandaging treatment can obtain satisfactory effect.