Application of damage control surgery in treatment of severe electric burn
10.3969/j.issn.1006-5725.2016.10.020
- VernacularTitle:损伤控制外科策略在救治严重电烧伤中的应用
- Author:
Zhiqian GUO
;
Jinhu LI
;
You GAO
;
Zhaosheng SUN
;
Jianyun XU
;
Xulin CHEN
- Publication Type:Journal Article
- Keywords:
Electric burn;
Damage control surgery;
Operation;
VSD dressing;
Xenogenic acellular dermal matrix
- From:
The Journal of Practical Medicine
2016;32(10):1619-1622
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of damage control surgery (DCS) in the treatment of severe electric burn. Methods Retrospective analysis on clinical data of 45 patients with severe electric burn was con-ducted. According to implementing DCS or not , patients were separated into DCS group and control group. In DCS group, tangential excision and transplanted xenogenic acellular dermal matrix was conducted for severe electric burn cases with deep Ⅱ degree wound, and escharectomy and VSD dressing for Ⅲ~Ⅳ degree electric contact burn wound at the first stage then skin-grafting or skin flap-grafting on the secong stage was applied. For control group , debridement, tangential excision or escharectomy and skin-grafting or skin flap-grafting to close the wound were conducted. We compared the difference in terms of operation time, length of stay, disability rate, mortality and complications between 2 groups. Results The operation time, incidince of disability and complications in DCS Group obviously decreased but there was no difference in length of stay and mortality in both groups. Conclusion DCS is effective for reducing complications and optimizing therapeutic effect for severe electric burn patients.
