【摘要】 报告151只手深Ⅱ～Ⅲ度或深Ⅲ度烧伤的早期处理及改进。伤后3周内感染或未感染创面均进行手术治疗是保存手部功能的关键时机。采用厚中厚皮片移植或皮瓣、筋膜皮瓣、肌皮瓣、岛状瓣等覆盖创面,使一些重要神经、肌腱、血管、骨在早期手术中得到保留。取得满意效果。经保守疗法治愈的深Ⅱ～Ⅲ度创面、伤后4周内若新生皮薄、色红、易破、活动受限,可切除大张新生薄皮换植大张厚中厚皮片,术后短期内可恢复手部伸屈功能。更多还原

【Abstract】 The paper presents the treatment of 151 deeply burned hands out of 294 burned hands of 210 cases.During 44 months,907 burned patients were treated in our department.It is learned that the first three weeks after burn is the key opportunity for preserving hand functions. In this period,active treatment can reduce the deformity of the hand and shorten the time of treatment.For wound with infection or not,skin burn only or complicated by injury of tendon,nerve,muscle,or with exposed bones should be covered with various ways and treated actively in the first three weeks.更多还原