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[全科医疗中烧伤的治疗]

[Treatment of burns in general practice].

作者信息

Vaagbø Guro

机构信息

Seksjon for hyperbarmedisin, Yrkesmedisinsk avdeling, Haukeland Universitetssjukehus, 5021 Bergen.

出版信息

Tidsskr Nor Laegeforen. 2005 Jun 2;125(11):1482-5.

Abstract

Smaller burns for which wound management is uncomplicated are mostly treated by general practitioners. However, general practitioners working in locations far from a hospital need skills in primary assessment and management of larger burns as well. For burns with limited depth and surface area it is recommended to choose a polyurethane dressing when the wound is exudative. As the wound dries up, a hydrocolloid dressing is preferable. Close follow up is important. A limited infection should be treated with silver sulfadiazine or a silver dressing. Hospital admittance is required for patients with deep wounds in the face, on the hands or in the genital area, high voltage burns and inhalation injuries, and of children below the age of two.

摘要

伤口处理不复杂的较小烧伤大多由全科医生治疗。然而,在远离医院的地方工作的全科医生也需要具备对较大烧伤进行初步评估和处理的技能。对于深度和表面积有限的烧伤,若伤口有渗出,建议选用聚氨酯敷料。随着伤口干燥,水胶体敷料更为适宜。密切随访很重要。轻度感染可用磺胺嘧啶银或银敷料治疗。面部、手部或生殖器部位有深度伤口、高压烧伤和吸入性损伤的患者以及两岁以下儿童需要住院治疗。

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