Can blisters from burns be punctured?

Nov 12, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
For small blisters, it is generally not necessary to puncture them. The blister fluid in small blisters is usually absorbed spontaneously, and leaving the blister intact helps maintain skin integrity, which is beneficial for the healing of the burn wound. Puncturing the blister may worsen the local injury and, if not properly cared for, can easily lead to infection. Avoiding puncture effectively reduces the risk of infection.

Generally speaking, whether a burn blister should be punctured depends on its size. If the blister is small, it usually does not require puncturing. However, if the blister is large, the blister fluid is difficult to absorb on its own, and the blister typically needs to be punctured using a sterile needle. Detailed explanations are as follows:

If the blister is small, it generally does not require puncturing. This is because the fluid within small blisters can usually be absorbed naturally. Avoiding puncturing helps preserve the integrity of the skin, which benefits the healing of the burn wound. Breaking the skin may worsen the local injury, and improper care can easily lead to infection. Not puncturing the blister can effectively reduce the risk of infection.

If the blister is large, the affected area usually presents with significant swelling and pain, and the blister fluid is difficult to absorb spontaneously. In such cases, the blister should be punctured using a sterile needle or aspirated with a syringe to prevent the wound area from expanding. Prior to puncturing the blister, strict disinfection of the local skin should be performed to prevent infection. After puncturing, the blister skin should be completely preserved to protect the wound and promote healing.

At the wound site, topical medications such as moisturizing burn ointment, Jingwanhong ointment, or mupirocin ointment may be applied under a doctor's guidance. These medications have effects such as clearing heat and detoxifying, removing decayed tissue and promoting granulation. Additionally, it is important to maintain cleanliness and dryness of the wound in daily care, avoiding scratching, rubbing, or other irritating behaviors. Adequate rest and dietary regulation are also important. Consuming nutrient-rich foods can promote wound healing.

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