Mészáros G
Egés- és Plasztikai Sebészeti Osztály, Szent István Kórház, Budapest.
Orv Hetil. 2000 Jan 30;141(5):231-5.
Until the middle of 20th century the burnt patients were treated on dermatological departments, and skin transplantations were performed after the regular conservative wound care too late and rarely. By reason of the medical experiences of the 2nd World War special departments were founded for the burn-injured patients, it happened likewise in our country in 1953 as well. The specialists recognized that the burn injury causes a general disease (multiple organ failure), moreover only an aggressive surgical tactics can product any good results. The author presents the progress and problems of Hungarian burn treatment since 1953. A significant part of the burnt patients has been treated firstly not in burn departments, and sometimes the first therapy is insufficient, because the national medical training for cure of burnt patients is deficient. For this reason the author gives a simple treatment guide for the first two postburn days, and finally he summarizes the conditions of advance.
直到20世纪中叶,烧伤患者都在皮肤科接受治疗,常规保守伤口护理后进行皮肤移植的时间过晚且很少进行。由于第二次世界大战的医学经验,为烧伤患者设立了专门科室,我国在1953年也同样如此。专家们认识到烧伤会引发全身性疾病(多器官功能衰竭),而且只有积极的手术策略才能产生良好效果。作者介绍了自1953年以来匈牙利烧伤治疗的进展和问题。相当一部分烧伤患者首先并非在烧伤科室接受治疗,有时首次治疗并不充分,因为国内治疗烧伤患者的医学培训不足。因此,作者给出了烧伤后头两天的简单治疗指南,最后总结了进展情况。