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Local treatment for burns

Local treatment of burns should be, if possible, early, active and to include activities that contribute to a more rapid and simultaneous exclusion of all necrotic tissues, accelerates regeneration processes and prevent the development of wound infection.
Upon receipt of the affected animal burnt places and the adjacent areas of skin (a width of 5 to 10 cm) caution clip out, washed with warm soapy water and irrigate copiously with warm boiled water. If heavily soiled, wipe alcohol, iodinated alcohol, alcohol-ether, gasoline, or 0.5%solution of liquid ammonia. This processing is done as carefully as possible, but without rough manipulations. Then on the affected area impose cold for 6-10 hours. (in the first hours after a burn.
In those cases, when the animal has received deep, but small in area, the so-called "point" burns (within 100 cm2), and when the burns have a view of the narrow strips can with good success to produce primary excision of the affected area. As in the first days after burn, as a rule, it is difficult to determine the boundaries of burned tissue, this operation can best be achieved by the end of 2-3 days, when it will occur relatively clear delimitation nekrotizirovannah tissues from healthy. This operation make, well bezbolevaya and carefully observing the rules of aseptics and antiseptics.
Excised all affected tissue within healthy, then carefully stop krovotechenie and on the formed wounds impose a seam. If necessary, on the sides of the wound inflicted additional laxative cuts. To prevent suppuration and dehiscence sutured wounds, used antibiotics and sulfa drugs.
This treatment allows to obtain a fast healing of the burnt surface with formation of small soft scar.
With burns of I-II degree, as a rule, does not require special surgical interventions, and apply measures aimed at the removal of painful reaction, prevention of infection and on the activation of regenerative processes.
Usually after surgical treatment of burned surface liberally grease reversible emulsion sulfanilamidov, liquid Vishnevsky ointment, creams containing antibiotics, 5%syntomycin or streptocidi emulsion or ointment Konkova. At the same time appoint thermal procedures for 30-40 minutes 1-2 times a day as vaporization, Soluxe, infrared and Hairdryer.
This treatment reduces pain, accelerates the Department of dead skin cells and promotes acceleration of regenerative processes.
With extensive superficial burns along with the specified treatment shows the use of stimulant therapy.
With extensive deep burns starting from the second day after the defeat burnt grease thick layer of 10-20%salicylic ointment (lubrication repeated after 1-2 days) with simultaneous application of daily thermal procedures for 30-40 minutes 1-2 times a day.
The use salicylic ointment in combination with thermal treatments leads to a softening and how would lysis only dead tissue, while healthy tissue is not damaged. As a result, during the next processing burn surface necrotic tissue is easily removed by shpatelem, in the form pasty gray mass. In addition, concentrated salicylic ointment creates an unfavorable environment for the development of wound infection.
3-5 day you can start excision of dead tissue. This combination of salicylic ointment and thermal treatments with active excision of dead tissue allows to achieve quick and full cleaning of the affected area from necrotic tissue. Active excision of dead tissue in the earlier period is usually accompanied by severe pain and heavy bleeding that is not indifferent to the animal organism. On this basis, we are in almost all cases, conduct active excision of dead tissue not earlier than the 5th day. By this time the necrotic tissue well ogranichivayutsya from healthy and can be easily separated. The operation proceeds maloletneva and almost without blood loss. As the purification of burnt surface from dead tissue formed granulating surface grease reversible emulsion sulfanilamidov, ointment containing antibiotics, liquid Vishnevsky ointment, an ointment Konkova and appoint thermal procedures.