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Long-term medical treatment of patients with severe burns at exposed sites

World Journal of Clinical Cases 2020年第16期8卷 3515-3526页

作者： Yong Du Guo-Zhong Lv Shun Yu Dan Wang Qian Tan Department of Burns and Plastic Surgery Affiliated Hospital of Jiangnan UniversityWuxi 214000Jiangsu ProvinceChina Department of Burns and Plastic Surgery The Drum Tower Clinical College of Nanjing Medical UniversityNanjing 210008Jiangsu ProvinceChina

BACKGROUND Body parts such as the face and hands are highly exposed during daily life and burns may accumulate in these *** addition,residual wounds,scar hyperplasia and contracture often exist in the late stage of a deep burn in these areas,which may affect patients’appearance,movements,and mental ***,inadequate attention has been paid to this issue which can result in problems,such as difficulty in healing,possibility of carcinoma,chronic pain and a heavy mental *** To investigate the long-term medical treatment of patients with severe burns at exposed sites following a mass burn casualty *** A retrospective analysis of 13 patients with severe burns at exposed sites was performed to determine their respective long-term medical treatment.A combined wound dressing scheme consisting of traditional Chinese and Western medicine was introduced to repair residual *** and passive functional exercises with massage,Chinese herbal baths and compression fixation were proposed to ameliorate the condition of the hands.A combination of physical,chemical and photoelectrical measures was adopted for anti-scar treatment.A psychological intervention and recovery guide was provided which corresponded to the patients’psychological *** Compared to patients who did not simultaneously receive the same treatment,patients who underwent systematic treatment recovered with a lower woundinfection rate(Ppatients’joints and blood supply to nerve endings,closure of the eyelids and the size of mouth opening tended to be normal,and only 7.1%of patients were diagnosed with severe scar hyperplasia and contracture deformity compared with 30.7%in the control *** addition,the color,thickness,va

关键词： Exposed sites severely burned patients Mass burn casualty Medical treatment

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