Experience of wound treatment on extremely severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident
10.3760/cma.j.issn.1009-2587.2018.06.005
- VernacularTitle: "八二"昆山工厂铝粉尘爆炸事故群体特重度烧伤患者创面处理经验
- Author:
Beiming SHOU
1
;
Qian TAN
;
Bingwei SUN
;
Lanjun NIE
;
Yuming SHEN
;
Guozhong LYU
;
Yi ZHANG
;
Wei LIN
;
Zhixue WANG
;
Ye YU
;
Yaohua ZHAO
;
Dewei WANG
;
Jian YAO
;
Erfan XIE
;
Dongfeng ZHENG
;
Shichu XIAO
;
Hongwei ZHANG
;
Zhijian HONG
;
Lei WANG
;
Wenzhong XIE
Author Information
1. Department of Burns and Plastic Surgery, Nanjing Fire Service Hospital, Nanjing 210003, China
- Publication Type:Journal Article
- Keywords:
Burns;
Accidents;
Wound dealing;
Mass burns;
Kunshan explosion
- From:
Chinese Journal of Burns
2018;34(6):339-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore experience of wound treatment of extremely severe mass burn patients involved in August 2nd Kunshan factory aluminum dust explosion accident.
Methods:On August 2nd, 2014, 98 extremely severe burn mass patients involved in August 2nd Kunshan factory aluminum dust explosion accident were admitted to 20 hospitals in China. The patients with complete medical record were enrolled in the study and divided into microskin graft group with 56 patients and Meek skin graft group with 42 patients. Split-thickness skin in area of residual skin were resected to repair wounds of patients in microskin graft group and Meek skin graft group by microskin grafting and Meek miniature skin grafting, respectively. The residual wound size on 28 days post injury and wound infection after skin grafting of patients in the two groups, and position of donor site of all patients were retrospectively analyzed. Data were processed with t test and chi-square test.
Results:The size of residual wound of patients in Meek skin graft group on 28 days post injury was (59±13)% total body surface area (TBSA), which was obviously smaller than that in microskin graft group [(70±14)%TBSA, t=4.379, P<0.05]. Twenty-nine patients in microskin graft group and 11 patients in Meek skin graft group suffered from obvious wound infection after skin grafting. Wounds of patients in two groups were repaired with residual skin around wound in head, trunk, groin, armpit, and uncommon donor sites of scrotum (4 patients), vola (10 patients), and toe or finger web (8 patients).
Conclusions:Meek skin graft is the first choice for wound repair of extremely severe burn mass patients, with faster wound healing, less wound infection. Uncommon donor sites of scrotum, vola, and toe or finger web can also be used for wound repair in case of lack of skin.
