12 cases of large-scale application of the treatment of skin laceration Paper Machine Drums experience of taking.docVIP

 PAGE \* MERGEFORMAT 7 12 cases of large-scale application of the treatment of skin laceration Paper Machine Drum’s experience of taking Study: Zuo Cheng Peng Yong Yong Yang Kangsheng wide area [Keywords:] large area of skin laceration surgery to take skin’s drum machine With economic development, industrial injuries and traffic accidents, the large area of skin laceration more and more, is a serious injury, do a large area of skin avulsion of the treatment, to retain, restore limb shape, function is a very important topic. our hospital in March 2008 - 2010 1 in 12 patients since January in order to encourage our team to take the skin’s thickness skin graft machine cut wound repair results in more satisfied, are reported below. 1 Materials and Methods 1.1 The group of 12 patients, 7 males and 5 females, the youngest 13 years old, maximum 67 years, all parts of the limbs, upper limbs in 3 cases, lower limbs in 9 cases, bone fracture in 6 cases, with shock in 4 cases. Fresh skin, big area of 7 cases of avulsion in situ after skin graft necrosis in 3 cases, large areas of skin after injury, the primary defect in 2 cases, accounting for 3% -20% body surface area range. 1.2 surgical procedures (1 fresh large area of skin avulsion cases, there is shock in the first anti-shock, and debridement of skin avulsion cut directly to the flattening in the disinfection of wood fixed to the drum machine’s taken directly to the avulsed skin skin cut into 10 20cm, or 8 20cm, thickness 0.3 ~ 0.4mm of the skin graft, and then perforated mesh, such as the skin is still not enough, places to take the skin’s drum machine from the abdomen and thigh, or 8 10 20cm 20cm, the thickness 0.3 ~ 0.4mm in thickness skin graft, and then mesh hole, and then while debridement to remove necrotic tissue contusion body, remove the standby in the thick stitching perforated skin graft on the wound muscles (2 large area of skin avulsion in situ necrosis of skin graft surger