Hettiaratchy S, Moloney D, Clarke J
Burn Unit, Chelsea and Westminster Hospital, London, UK.
Ann R Coll Surg Engl. 2001 Jan;83(1):26-9.
Patients who are critically ill and have large areas of skin loss or breakdown present a difficult management problem. They require the combination of intensive therapy facilities to support failing organs and specialized skin care, sometimes including extensive debridement and reconstruction. The expertise required for both aspects of treatment are found uniquely on a burns unit. We present five patients with large areas of cutaneous loss or damage secondary to a variety of non-burn aetiologies who were managed on a burns unit. We suggest that a burns unit may be the most appropriate place for such patients to be treated during both the acute phase of their illness and the later stages of surgical reconstruction and physical rehabilitation.
患有重症且有大面积皮肤缺失或破损的患者面临着棘手的管理难题。他们需要强化治疗设施来支持衰竭器官，并需要专业的皮肤护理，有时还包括广泛的清创和重建。治疗这两个方面所需的专业知识在烧伤科中独一无二。我们介绍了五名因各种非烧伤病因导致大面积皮肤缺失或损伤的患者，他们在烧伤科接受治疗。我们认为，烧伤科可能是这类患者在疾病急性期以及后期手术重建和身体康复阶段接受治疗的最合适场所。
