(Disclaimer: This article is for scientific purposes only. To protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: This case is a middle-aged patient who presented to the hospital with severe burns due to being accidentally cauterized by flames at work. After admission, he was diagnosed as having Ⅲ degree burns on his right hand. After a debridement, fresh granulation grew, and then autologous skin grafting was performed. With the patient’s active cooperation in treatment, the grafted skin survived completely after the surgery, and the whole hand’s movement as well as function was guaranteed, and he was able to carry out his work normally without being affected by scarring. Basic information] Male, 43 years old [Disease type] Ⅲ degree burns on the right hand [Hospital] The First People’s Hospital of Jiujiang City [Time of consultation] December 2021 [Treatment plan] medication (cefotaxime sodium) + surgical treatment (burn wound debridement + biocutaneous coverage + autologous skin grafting) [Treatment cycle] hospitalization for 20 days, two months after the operation to re-examine the 【Treatment effect] The patient after surgery, skin survival, right hand activity and function are guaranteed, and can work normally without the effect of scarring. After treatment, the skin survived and the right hand activity was basically unaffected I. Initial Consultation The patient was a middle-aged male, working in a steel mill, and in the process of work, an accidental explosion occurred, and the patient, who was in the front line at that time, was instantly burned by the flames ejected during the explosion, and the right hand could be seen as a burnt scab forming at that time, and the skin was almost as hard as a hard lump when touching it and it was difficult to see the color of the blood, and the patient indicated that he didn’t have any pain, and he considered that it wasn’t serious. do not think it is serious. Briefly introduce the situation with the patient, the burn has actually been particularly serious, resulting in a deep degree of burns, and this kind of wounds at first glance know that they can not recover, and must be repaired through surgery, so the patient was advised to immediately emergency bandaging treatment, followed by emergency right hand third-degree burns were admitted to the hospital, for further treatment. Second, the treatment process After admission, blood routine, blood biochemistry, blood gas and electrocardiogram were perfected, because the wound was very deep and the inflammatory reaction was heavy, cefotaxime sodium was given intravenously for anti-infective treatment, and when the condition stabilized and the swelling subsided, on the 3rd day of the admission, burn wound debridement + biocutaneous coverage was performed, and in the course of the procedure, the patient was seen to have part of the necrosis of the decomposed skin and fatty tissue on the right hand wound, and a small part of it was visible. tendon was exposed. Fresh granulation tissue growth was seen 7 days postoperatively, followed by autologous skin grafting, where epidermis was taken down from the patient’s medial thigh and covered the right hand trauma, secured at the edges with sutures to avoid displacement of the skin piece. The dressing was removed 7 days after the operation, and it was seen that the skin piece had survived well, and the effect of the operation had reduced the degree of scarring, and the patient was then advised to gradually strengthen the hand exercise. (After autologous skin grafting) After surgery, dressing change, anti-infection and other treatments, the patient’s skin slice survived very well without necrosis, and he started functional exercise after removing the dressing after the surgery, and without other uncomfortable symptoms, and was discharged from the hospital at the 20th day of hospitalization. The patient was discharged on the 20th day of hospitalization. The patient was advised to prevent the scar from proliferating around the suture, wear the elastic sleeve every day and perform functional exercises, and was rechecked in the hospital after 2 months. At the recheck, the patient said that although his hand was not flexible enough to be restored, his mobility was basically normal, and he could carry out daily activities and even light work. It is gratifying to see that the patient can slowly recover his hand function after the surgery. However, in the course of daily rehabilitation activities, it is necessary to insist on wearing an elastic sleeve to avoid scarring at the suture joints of the skin pieces, which will seriously affect the aesthetic appearance of the hand, and it is generally recommended to maintain the anti-scarring treatment for about 1 year. In addition, during the recovery process, especially when the hand activities need to pay attention to the newly recovered position of the first 1-2 months will easily appear due to skin friction and small transparent blisters, you can apply recombinant human epidermal growth factor gel to promote recovery. If uncomfortable symptoms occur, timely medical examination, and follow the doctor’s instructions for regular review. V. Personal Insights Flame burns require special attention to safety precautions for many workers who work in factories, especially those who are exposed to high temperatures and flammable and explosive materials. After a burn accident occurs, you should take off the clothing of the burned area at the first time, and immediately rinse with running water to reduce the heat on the skin as much as possible. Of course, like the patient, the case of serious burns must be timely hospital treatment, to avoid deepening the infection of the wound, or after recovery scarring will be very serious, and even the risk of disability. After the burn, if the wound is not too deep, generally active anti-infection treatment and wound regular dressing change treatment, the wound can be normal healing. If the wound is deep like this patient, surgery is needed as soon as possible to shorten the healing time and reduce the degree of scar formation after healing.