Use of the scalp as a donor site for large burn wound coverage: review of 150 patients.
Abstract
The characteristics of rapid wound healing and multiple harvest capacity make the scalp an important donor site when dealing with large and deep burn wounds. This paper reports the results of a retrospective analysis of 150 patients treated for large burn wounds. The findings indicated that bleeding during graft skin harvest could be limited to 50 ml by intradermal injection of epinephrine (1:2,000,000), high-concentration epinephrine-soaked gauze compression (1:20,000), and temporary porcine skin coverage. Use of a scalp graft also carried a low risk of complications, with only four (2.7%) major complications including three cases (2.0%) of visible alopecia and one case (0.7%) of hair transplantation. There were no hypertrophic scars, even in the patient who had the largest number (11) of repeat harvests.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 약물 | epinephrine
|
에피네프린 | dict | 2 | |
| 시술 | hair transplantation
|
모발이식 | dict | 1 | |
| 해부 | scalp
|
scispacy | 1 | ||
| 해부 | intradermal
|
scispacy | 1 | ||
| 해부 | scalp graft
|
scispacy | 1 | ||
| 해부 | hair
|
scispacy | 1 | ||
| 합병증 | scalp
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | wounds
|
scispacy | 1 | ||
| 합병증 | alopecia
|
scispacy | 1 | ||
| 질환 | bleeding
|
C0019080
Hemorrhage
|
scispacy | 1 | |
| 질환 | alopecia
|
C0002170
Alopecia
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | graft skin
|
scispacy | 1 | ||
| 기타 | porcine skin
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Adolescent; Adult; Aged; Blood Loss, Surgical; Burns; Child; Child, Preschool; Epinephrine; Female; Humans; Infant; Male; Middle Aged; Retrospective Studies; Scalp; Skin Transplantation
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