目的 探讨严重烧伤患者早期治疗与功能训练的最佳方案。方法 9例烧伤面积＞90%，Ⅲ度>70%患者采用同一部位反复供皮和Ⅱ度烧伤愈合后供皮以扩大皮源，以异体与自体皮相间移植和大片筛状皮移植为主，同时在创面愈合后即开始物理治疗和功能训练。结果 9例患者中3例恢复工作，6例能做些家务劳动，生活完全自理。结论 严重烧伤患者早期采取有效的植皮措施和功能训练是提高治愈率、减少并发症，促进患者功能恢复的有效保证。%Objective To investigate the optimal scheme for early treatmentand the physical function restoration. Methods Nine burn patients with burnt area >90 % of total body surface area (TBSA) and full thickness burnt area >70 % of TBSA were studied. In each of the skin grafts, donor cutaneous sheets were harvested repeatedly from the same sites or from healed area of partial thickness burnt wounds to enlarge the donor areas. For most of the wounds large autogenic mesh sheets grafting and modified Jackson's technique of autogenic-allogenic skin strip grafting were adopted. At the same time, physical therapy and function training were performed after wounds healed. Results Of the 9 patients, 3 restored to work and 6 could engage in the housework. Conclusion Early skin transplantation and function training in the patients with severe burn could increase the curative rate, decrease the incidence of the complications and promote the function recovery.
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