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目的:为减少重烧伤儿童供皮区渗血、渗液,防止感染,促其愈合,使同一部位可短时间内反复多次取皮。方法:分别用α-氰基丙烯酸正辛酯喷雾式医用止血粘胶(PW胶)和常规抗生素湿纱敷盖,对28例56个供皮区进行临床观察并和光学显微镜、电子显微镜对照研究。结果:PW胶有明显优于抗生素湿纱的止血、止渗、抗感染和促进供皮区愈合的效果,还有减少疤痕增生的作用。结论:PW胶喷敷是一种处理重烧伤儿童供皮区的好方法,其作用机制尚需进一步深入研究
OBJECTIVE: To reduce the blood supply and exudation in the donor area of severely burned children, prevent the infection and promote healing, so that the same site can be repeatedly taken many times in a short time. Methods: 28 cases of 56 donor sites were observed with optical nodular injection of medical hemostatic adhesive (PW glue) and routine antibiotic wet gauze, respectively, and compared with light microscope and electron microscope . Results: PW glue was significantly better than the antibiotic wet gauze to stop bleeding, stop bleeding, anti-infection and promote the healing of the donor area, as well as reduce the role of scar hyperplasia. Conclusion: PW glue spraying is a good way to treat donated skin in children with severe burn, and its mechanism of action needs further study