Giessler G A, Deb R, Germann G, Sauerbier M
Klinik für Hand-, Plastische- und Rekonstruktive Chirurgie-Schwerbrandverletztenzentrum-, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Plastische und Handchirurgie der Universität Heidelberg, Ludwigshafen.
Chirurg. 2004 Jun;75(6):560-7. doi: 10.1007/s00104-004-0863-3.
Burn injuries can be caused by thermal, electrical, chemical, or mechanical trauma or radiation and are relatively rare, as they represent only about 1% of all emergencies. They are caused by accidents at home, during recreational activities, or in the occupational environment. Minor burn traumas are much more common than severe burn injuries with their systemic and potentially life-threatening effects. Altogether, these circumstances may result in a lack of routine for treating such injuries properly by physicians and their colleagues in the emergency room or intensive care unit. A clearly outlined concept for preclinical and clinical treatment can be the keystone of successful further clinical progress. The following article summarizes the current guidelines for first medical aid at the injury scene, burn stabilization and assessment in the emergency room, and the interdisciplinary approach for further clinical care. The treatment of dermatologic emergencies (acute epidermolytic syndromes) or caustic injuries by chemical agents is similar to the treatment of burn victims in many aspects but must be adapted in selected cases.
烧伤可由热、电、化学、机械创伤或辐射引起,相对较为罕见,因为它们仅占所有急诊病例的约1%。烧伤是由家庭事故、娱乐活动期间或职业环境中的事故导致的。轻度烧伤创伤比具有全身影响且可能危及生命的严重烧伤更为常见。总体而言,这些情况可能导致医生及其在急诊室或重症监护病房的同事缺乏妥善治疗此类损伤的常规方法。一个明确概述的临床前和临床治疗概念可能是成功取得进一步临床进展的关键。以下文章总结了目前在受伤现场进行急救、在急诊室进行烧伤稳定和评估以及进一步临床护理的跨学科方法的指南。皮肤急诊(急性表皮松解综合征)或化学制剂造成的腐蚀性损伤的治疗在许多方面与烧伤患者的治疗相似,但在某些特定情况下必须进行调整。