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目的：降低儿童手严重爆炸伤的感染率与致残率。方法：对68例儿童手严重爆炸伤皮肤缺损的直接定位缝合、短缩指骨缝合、皮瓣修复以及开放伤口二期修复等处理方法进行分析。结果：以开放创口换药有效率最高，占伤口总数的89．6％，以腹壁带蒂皮瓣修复方法最低．占伤口总数的26．3％。结论：儿童手严重压炸伤皮肤缺损的一期修复方法应视创面具体情况而定，早期处理要以晚期修复手功能作准备。
Objective: To reduce the rate of infection and disability in children with severe explosive injury. Methods: 68 cases of serious explosive skin injury in children with direct positioning suture, shortened phalanges suture, flap repair and open wounds and other treatment methods were analyzed. Results: Dressing with open wound was most effective, accounting for 89.6% of the total number of wounds. The method of repairing skin flap with abdominal wall was the lowest. Accounting for 26.3% of the total number of wounds. CONCLUSION: The first-stage repair method of children’s skin with severe pressure injury should be determined according to the specific conditions of the wound surface. Early treatment should be prepared in the stage of repairing hand function in the late stage.