论文部分内容阅读
目的 :探讨以溶栓、扩血管、高压氧、植皮为主的综合性治疗家兔烧冻复合伤的疗效 ,为临床治疗提供依据。方法 :在寒区自然条件下制作烧冻复合伤的模型 ,于伤后 4h按不同的治疗方法分成对照组、常规治疗组和综合治疗组。结果 :对照组及常规治疗组创面水肿分别于伤后 13d治疗后 10d消失 ,两组皮温基本保持在 2 5℃水平 ,常规治疗组 5d后皮片开始有生长 ,2周后 75 %皮片成活。综合治疗组治疗 1d后水肿开始消退 ,7d水肿消失 ,其创面皮温在治疗过程中基本保持在 30℃水平 ,3d后所植皮片生长 ,10d后表皮完全修复。皮片生长速度两组比较有显著差异 (P <0 .0 1)。结论 :烧冻复合伤在积极采用溶栓、扩张血管的基础上 ,再辅助高压氧、植皮等治疗 ,疗效显著
Objective: To investigate the curative effect of comprehensive treatment of rabbit combined burn injury with thrombolysis, vasodilation, hyperbaric oxygen and skin grafting, to provide basis for clinical treatment. Methods: A model of frozen complex injury was made under the natural conditions of cold area, and divided into control group, conventional treatment group and comprehensive treatment group according to different treatment methods 4h after injury. Results: The wound edema of the control group and the conventional treatment group disappeared 10 days after the injury, respectively. The skin temperature of the two groups remained at 25 ℃. The skin of the conventional treatment group started to grow after 5 days. After 2 weeks, 75% survive. After 1 day of treatment, the edema began to subside and the edema disappeared on the 7th day. The wound temperature maintained at 30 ℃ in the course of treatment. The skin graft grew after 3 days and the epidermis was completely repaired after 10 days. The rate of skin growth was significantly different between the two groups (P <0.01). Conclusion: The treatment of burn injury combined with active thrombolysis and dilation of blood vessels supplemented with hyperbaric oxygen and skin grafting showed significant therapeutic effect