Ultra-thin flaps in electrical burn wound depth on

yxfbbiedtj · Wysłany: Nie 10:08, 27 Mar 2011

Ultra-thin flaps in electrical burn wound depth on the application

Type of flap capillary reaction time difference there. Retrograde and antegrade flap capillary reaction speed is different. Large area of skin flap capillary reaction and the small size differences, the level of capillaries in response to local temperature differences. The reason is thin flap, remove some fat, blood vessel layer of reduced blood supply to break the routine,[link widoczny dla zalogowanych], the process can cause vascular flap diameter, causing blood pressure changes caused by low blood flow, the flap by the above changes and beds to establish a cycle prior to the blood supply still exists. Clinical observation showed vascular blood supply from the pedicle is no doubt must be solved, so to maintain the survival of early flap. 1O continue to pressure hard to note about 30 minutes after a thin flap from the pedicle to the proximal slowly ink dyed black. and observation of the thin flap has been clipped and placed on the plate to move slightly flattened corners cited, see flap edge less blood oozing, place l-hour to see the flap edge after a bloody effusion, the flap capillary reaction exists. proof of the consistent clinical observation and experiment. flap 3-4 days, thin skin valve several ● ● ● ● lj, song break rash youth larva f / 9, 1992, Liu 19, repeated intensive help the rich capillary connected with the wound and the role of the base pressure, local vascular extremely rich. trimmed of fat destruction of a large contact surface to obtain nutrition moisture flap, a few days Qianshen membrane integrity, reduction of flap vascular layer, blood vessels of the flap to complete. This reduction of thin skin flap after the pass, two corresponding reduction in blood supply, fat to fight infection too early pedicle blood supply and blood vessels of the late completion of two is weak, local inflammatory reaction. In particular, shallow steps to protect the survival of the flap. Arrow membrane integrity is valuable. fresh pollution Burns 2, thin skin flap thickness selection should be based on deep-l surface is applicable, need to stick up further claims. degree burns to retain the degree of superficial, deep fat thickness 3, the characteristics of ultra-thin flap degrees. this group of cases, the foot with electrical burns bone Farfetched, ① thin flap. including thin subdermal vascular network and deep wounds, subcutaneous fat, 3-_4 should be retained in fatty tissue, to overcome the shortcomings of the traditional flap for mm. Hand Ling electrical burn associated with bone Xiao, fat should be maintained hand, wrist, foot, ankle repaired limbs. leaving 2-3mm electrical burn forearm and calf ② flap associated with a large aspect ratio. The largest group of 4: l, muscle necrosis, fat J reservations 5mm and so on. wave for the skin area increases. wound, the fat should be retained 2mm. ⑧ of the flap by cutting the pedicle width and aspect ratio of the side flaps disease Big group repeated experimental observation, a special case of 3:1 according to the local flap transfer vessel architecture to facilitate Kuai do more spiritual point of tubular, four types of the flap. ① thin skin, live, for cross flap. valve, to retain fat 2-3mM, within a blood vessel 2. ... 3 layers. 'flap , ~ J a 4 - 5. i and so on. built vessels within the 3-4 m layer. ⑧ hideous: full-thickness skin of Chinese Medical Science bucket means 99 ~ 1 ~ ... 2 ... 0: A 389 ~ ... ... flap, retaining fat 6-7mm, the vascular 4-2, y. ungcMA.Theis. tope5 layer. ④ full-thickness flap. so as to facilitate clinical cle3rancefechigaeformeasuring by application of multiple clinical observation, the flap of fat skinbl. odS1. w . Briep1astsurg reserves less the worse the resistance to infection, inflammatory skin flap was significantly ... ... ... disease, required large doses of antibiotics. flap 3, Sun Yonghua other pedicle of the subdermal vascular network thin Taiwan fat thicker enhanced resistance to infection, inflammation than casual blood supply to skin a complete defense and its clinical application. planed superficial, deep wound that the arrow of a light film defensive role, with semi-permeable membrane bone of l990: 1:29 (/ ●, EO / treatment of patients with small burn 5O observed P-/ Changchun Medical College Hospital, Chi Wen Kang small burn, is a common disease of sudden. I treat burn patients for nearly three years, 50 cases are described below. clinical patient selection: all outpatient course of the disease: the shortest is burned children after hours, the longest is more than a month after burn has been treated, unhealed referral from. species; boiling water burns, alcohol burns, electrical burns, acetylene burns. rosin burn pad, goose oil burns hot sugar burns, asphalt mention injuries. parts: body surface burns all - of which 90 are hand and foot burns, 10 is the hot trunk, total body surface injury usually I write the following 5 areas. depth; -95 is burned Ⅱ . superficial which accounted Ⅱ. 50, deep Ⅲ. 45. Therapeutic Use the main administration outside the small area burns, herbs shikonin, berberine amount, soluble blue cod liver oil in winter 10, summer day can make the quiet S. Each Day one outside the applicator,