Abstract: Objective〓To investigate the characteristic and experience of special skin avulsion's treatment with elderly patients. Methods〓According to 22 cases of special patients tearing for the diagnosis and treatment,avulsion skin are used after debridement suture in situ, pressurized bandaging treatment method. Results〓All the grafts or most survived,one cases caused a skin graft necrosis by infection, skin graft healing later. From 4 months to 3 years, feeling and activity are good after the replantation skin. Conclusion〓The features of elderly patients with shallow, less trauma, the clear suture and bandaging treatment can obtain satisfactory effect.

Key words: Elderly patients, Skin avulsion injury, Replantation

摘要： 【摘要】〓目的〓探讨老年患者中一些特殊皮肤撕脱伤的特点及治疗体会。方法〓回顾分析收治的22例特殊老年皮肤撕脱伤患者的诊治,撕脱皮肤均采用清创后原位缝合、加压包扎的治疗方法。结果〓21例患者中再植皮片全部或大部分成活,1例因感染导致皮片坏死,经清创后二次植皮愈合,经4个月至3年随访,回植皮肤弹性、感觉及活动度良好。 结论〓因此类老年患者皮肤损伤存在撕脱层次浅、撕脱皮肤损伤不重的特点,采用清创后原位缝合、加压包扎的治疗可取得满意的效果。

关键词: 老年患者, 皮肤撕脱伤, 原位再植