目的观察早期切痂加碘伏湿敷在热金属小面积烧伤中的应用。方法入选81例小面积热金属烧伤病人,随机分为实施组(早期切痂+碘伏湿敷,n=39)和对照组(应用传统的自溶脱痂法,n=42),比较两组病人植皮、愈合时间和医疗费用的差异。结果实验组病人的植皮例数、愈合时间和医疗费用明显低于对照组(p<0.05)。结论早期切痂加碘伏湿敷有利于治疗热金属小面积烧伤。 Objective To observe the application of early escharectomy plus iodine wet deposition in the hot metal small area burn. Methods Eighty-one patients with small area hot metal burns were enrolled and randomly divided into two groups (n = 39) and control group (escharectomy + iodophor wet compressing, n = 42) Patient skin grafting, healing time and medical costs differences. Results The number of skin grafts, healing time and medical expenses in the experimental group were significantly lower than those in the control group (p <0.05). Conclusion Early escharectomy plus iodine wet deposition is good for the treatment of hot metal small area burn.