[Management of extensive deep partial thickness burn wounds by dermabrasion during early postburn shock stage].
OBJECTIVE
To explore new methods for the management of extensive deep partial thickness burn wounds.


METHODS
Fifty burn patients with extensive deep partial thickness burn wounds were randomly divided into two groups: A and B groups. The patients in A group (n = 30) were treated with dermabrasion while those in B (n = 25) with conventional tangential excision. The first operation time in A and B groups was 12.3 +/- 10.7 hours and 47.2 +/- 11.5 hours, respectively. The patients' urine output, heart rate and arterial oxygen saturation (SaO2) were monitored.


RESULTS
The mean one setting operation area in A and B groups were (65.5 +/- 19.4)% and (64.8 +/- 18.7)%, respectively. All the indices remained stable in both groups during and after the operation. Nevertheless, the burn wound healing time (20 days averagely) in A group was 10 days shorter than that in B group. The incidences of internal organ injury and bacteremia in A group were much lower than those in B group. Furthermore, the hospitalization cost in A group was decreased compared with that in B group. And the scar after wound healing was much less obvious in A group than that in B group.


CONCLUSIONS
Dermabrasion during early postburn shock stage for the management of deep partial thickness burn wound had many advantages such as: easy manipulation, less injury to patients, lower infection rate, less complications and quicker burn wound healing.
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery*; D003869:Dermabrasion / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D012774:Shock, Traumatic / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult