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目的 :介绍小儿手部烧伤的病理特点和治疗的特殊性。方法 :对 1 988～ 1 993年间治疗的手部烧伤患儿 88例进行分析 ,分早、中、晚期治疗。早期治疗注意防止感染 ,消灭创面 ,中期治疗尽早切除瘢痕 ,防止瘢痕挛缩 ,晚期治疗在切除瘢痕、矫正畸形的同时 ,注意随诊及后期治疗。结果 :随访 43例 ,最长时间 2年 3个月 ,最短 2个半月 ,优良率 88.6%。结论 :小儿手部烧伤由于受瘢痕挛缩和骨骼生长双重因素的影响 ,畸形产生早且重 ,功能障碍也较成人重 ,因此强调治疗的早期性和连续性尤为重要。
Objective: To introduce the pathological features and the special treatment of pediatric hand burns. Methods: 88 cases of children with hand burns treated between 1998 and 1993 were analyzed and divided into early, middle and late treatment. Early treatment to prevent infection, eliminate wounds, mid-term treatment of scar removal as soon as possible to prevent scar contracture, advanced treatment of scar removal, correction of deformity at the same time, pay attention to follow-up and treatment. Results: Follow-up 43 cases, the longest time of 2 years and 3 months, the shortest 2 and a half months, excellent and good rate of 88.6%. CONCLUSIONS: Due to the double factors of scar contracture and skeletal growth in children with hand burns, the deformities are earlier and heavier and the dysfunctions are heavier than adults. Therefore, it is particularly important to emphasize the early and continuity of treatment.