[摘要]目的：探讨肝素对深Ⅱ度烧伤创面的治疗效果。方法：伤后24h入院的烧伤患者30例， 3%～50% 烧伤面积，以深Ⅱ度为主，清创后实验区先用肝素钠湿敷，再用磺胺嘧啶银乳膏包扎，对照区应用磺胺嘧啶银乳膏包扎，每日1次，3天后改为半暴露。观察创面疼痛缓解、水肿消退、愈合时间等。结果：实验区创面肝素湿敷数分钟后疼痛明显减轻，水肿消退快，愈合时间明显少于对照区。结论：肝素直接外用于深Ⅱ度烧伤创面能缓解疼痛，缩短愈合时间。

    [关键词]烧伤;肝素;创面愈合

    [中图分类号]R644[文献标识码]A[文章编号]1008-6455(2008)03-02

    Clinical observation of the effect of heparin on deep partial thickness burn wound

    LI Yan1, HUO Ran1, KONG Xiang-hong1, ZHANG Zhi-hua2, ZHOU Li-ping2, ZHANG Hong-tu2

    (1.Department of Burns and Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021，Shandong, China；2. Department of Burns and Plastic Surgery, Jining First People's Hospital, Jining 272100,Shandong, China) ......