来不及说我爱你第21集

Thrombocytopenic purpura associated with cytomegalovirus infection in infants of 19 cases

Surgery 174, which at the flap and skin graft 1O9, I healed 79, I on the healing rate of 72.5. 86 of 71 patients followed up for 3 months to 2 years,MBT Cip?, 59 can look and function well without plastic surgery. CONCLUSION: ① severe facial burns complicated joint and the depth of the wound site, to save lives at the same time, the implementation of early surgical intervention and repair is feasible and effective; ② rational allocation of limited use skin sources,mbt cipo, joint and facial parts of the flap and wound thickness skin graft from the body is the principle of surgical intervention; ⑧ crazy at the same time with a large cut during surgery to ensure that the number of physicians capable, clear division of labor, shorten the operation time is to ensure safe operation, the key to improving results of operations. [Key words] Burn; joint; face; surgery; repair CLC: R644 Document code: A Article ID :1672-3457 (2005) 0100756-02 improve the success rate with severe burns, dysfunction and disfigurement with an increasing incidence in recent years this has attracted attention for serious burn patients in our hospital joint and the depth of the wound site looks at the same time to save lives, early surgical intervention to repair strategies, received good effect. l objects and methods 1.1 General Information January 2000 January 2004 l2 severe burns were treated in our hospital (severe burns and severe burn) into the joints and facial parts of deep burns (deep Ⅱ, Ⅲ, Ⅳ degrees) were 2l8 cases , of which the implementation of early surgical intervention l26 patients, 78 males, female 48 cases, aged 2 to 58 years, burned a total area of l6 ~ 98, Ⅲ, Ⅳ degree area of 6 to 93. The group of large joints such as the limb joints within the meaning of the wrist, elbow, shoulder, ankle, knee, hip joint; face parts that scalp, eyes, ears, face, neck, hand, penis, female breast, and the labia majora. 1.2 burn area and depth and severity of the latest diagnostic criterion-referenced diagnostic criteria for a domestic,abercrombie outlet, while three or more experienced physicians to confirm. 1.3 The timing of surgical indications and relatively stable vital signs, assessment can be tolerated anesthesia and surgery. Seek opportunities within 7d after injury, early completion of the scheduled surgery. 1.4 surgical procedures (1) limb (finger) ring eschar eschar and eyelid and conjunctiva valgus occurs when open decompression or excision of eschar and timely decompression, conditions or when skin grafting for a skin flap, or delayed repair; (2) limitations for a deep burn repair; (3) skin thick source permit or full-thickness skin transplantation, skin thick edge of the source is insufficient or supplemented by planting acellular (kind of) leather, or transplantation of autologous skin particles; (4) II deep scalp wound dressing healed after tangential excision; (5), female breast, nipple and areola, shallow cut as much as possible to avoid the destruction of glandular tissue. On the bit: Zhengzhou II, the first person to the hospital burn unit 4500041.5 rehabilitation methods graft joints started the first active muscle contraction exercises 3d, 7d after surgery or stitches combined with active and passive flexion and extension after the joint exercise. Wound healing after topical anti-scarring drugs, and wear elastic compression fabric, if necessary, to use the brace against scar contracture. UV-exposed areas and also to avoid glare. Rehabilitation for at least 1 year. 2 Results 7d after injury and Ⅱ in a total of surgery l7d, of which the scalp dressing healed after tangential excision l2 cases, including cases of healed again after l0 or more as a donor source. L6 cases of ectropion cut 23 eyes, a skin graft in 7 eyes, I was stage Ⅱ skin. Escharectomy 3 ear, a skin graft 1, Ⅱ of skin grafting 2. Crust face and neck,ed hardy bikini, a skin graft 6 cases. Penis and the labia majora escharectomy a skin graft of the l cases. Keep the breast areola, cut around the shallow crust 9. Joint one hand and skin grafting 3l Crust Department, flap l2 Department. Decompression or decompression phase Ⅱ escharectomy skin graft 35, flap 9. Skin grafting in the joints, the pure from the body (large sheets,ed hardy swimwear, stamps, mesh) of 22 skin graft, autologous allogeneic skin graft particles Piga 62, acellular really thick hide of autologous transplantation l1 Department. The group of skin graft and flap surgery l09 Department, I healed 79, I rate of healing of 72.5, Ⅱ healing 30 (l6 Department healing dressing. Supplementary skin grafting l4 Office). 7l 86 patients were followed up for 3 months to 2 years, 59 (68.6) appearance and good function, no need for further surgery. 37 may need re-surgery (plastic surgery). 3 Discussion Despite years of research and exploration of people continue to scar the control methods, but progress is slow, has not changed, Early implementation of appropriate surgical intervention can significantly improve the prognosis has been accompanied by consensus. Particular attention to the joints and early repair of facial parts, such as limitations or use a small area deep burn
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