[The use of skin grafting for the treatment of burn wounds in Denmark 1870-1960].

Dansk medicinhistorisk arbog Pub Date : 2009-01-01
Sidsel Hald Rahlf
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Abstract

Beginning around 1879 the efforts to develop methods for treating burn wounds were fuelled by necessity. Before this time no specifik treatment existed. Following the revolutionary work by the Swiss doctor Jacques-Louis Reverdin in 1869, the first skin graft was performed in Denmark in 1870. Skin grafts were used to treat burn wounds until World War I but due to poor results, the method was abandoned for ointment treatments. Tannic acid was one of the substances used as ointment in this period. During World War II, however, tannic acid treatment was linked to liver damage due to absorption from the wound. At the same time, the many burn injuries of World War II brought about new advances in skin grafting methods, which again became the principle treatment for burn injuries. Up to 1959 patients with burn wounds were treated in dermatological wards at Danish hospitals, but the efforts were then gathered at the surgical ward of the Kommunehospitalet in Copenhagen. In 1961 a burns ward opened at the same hospital, treating all burn injuries from Copenhagen, as well as serious cases from the whole country.

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[在丹麦使用皮肤移植治疗烧伤创面1870-1960]。
大约从1879年开始,出于需要,人们开始努力开发治疗烧伤的方法。在此之前,没有专门的治疗方法。继1869年瑞士医生Jacques-Louis Reverdin的革命性工作之后,第一例皮肤移植于1870年在丹麦进行。直到第一次世界大战之前,皮肤移植一直被用于治疗烧伤伤口,但由于效果不佳,这种方法被放弃用于软膏治疗。单宁酸是这一时期用作药膏的物质之一。然而,在第二次世界大战期间,由于伤口吸收,单宁酸治疗与肝脏损伤有关。同时,第二次世界大战的许多烧伤带来了植皮方法的新进展,再次成为烧伤的主要治疗方法。1959年以前,丹麦医院的皮肤科病房对烧伤病人进行治疗,但后来集中在哥本哈根社区医院的外科病房进行治疗。1961年,同一家医院开设了烧伤病房,治疗来自哥本哈根的所有烧伤以及来自全国的严重病例。
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