title: [Clinical observation of the effect of tangential excision within 24 postburn hours on the patients with deep partial thickness burn].
abstract: OBJECTIVE
  To investigate the safety and the clinical effect of the tangential excision of the patients with deep partial thickness burn within 24 postburn hours (PBHs).
  
  
  METHODS
  Twelve patients with deep partial thickness burn with the indication for tangential excision, the operation was carried out within 24 PBHs. These patients were designated as group A. Another group of fourteen patients with similar conditions undergoing tangential excision during 4 - 6 PBDs were designated as group B. The amount of fluid infusion during shock stage, the shock signs, the vital signs during recovery period, the urine output, as well as the healing time were compared between the two groups.
  
  
  RESULTS
  There was no obvious difference in the amount of fluid infusion and the shock signs between the two groups. There were evident differences in the body temperature and heart rate during recovery period, with the urine output increased dramatically during shock stage in group A when compared with those in group B (P < 0.05-0.01). The average wound healing days in group A were less than that in group B (P < 0.01).
  
  
  CONCLUSIONS
  Tangential excision within 24 PBHs was applicable and safe for the patients with deep partial thickness burn, and wound healing time was thus shortened.
authors.affiliation: Burn Institute of Shanghai, Ruijin Hospital, Shanghai Second Medical University, Shanghai, 200025, P.R. China.
authors.forename: Shu-liang
authors.initials: SL
authors.lastname: Lu
authors.forename: Zhen-jiang
authors.initials: ZJ
authors.lastname: Liao
authors.forename: Jun
authors.initials: J
authors.lastname: Xiang
authors.forename: Zhi-yong
authors.initials: ZY
authors.lastname: Wang
authors.forename: Li-ying
authors.initials: LY
authors.lastname: Yang
authors.forename: Ji-xiang
authors.initials: JX
authors.lastname: Shi
mesh_terms: D000328:Adult; D001831:Body Temperature; D002056:Burns / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006339:Heart Rate; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014945:Wound Healing