Grunwald Tiffany B, Garner Warren L
Los Angeles, Calif. From the Division of Plastic and Reconstructive Surgery, University of Southern California, USC Keck School of Medicine, and LAC+USC Burn Unit, LAC+USC Medical Center.
Plast Reconstr Surg. 2008 May;121(5):311e-319e. doi: 10.1097/PRS.0b013e318172ae1f.
After studying this article, the participant should be able to: 1. Describe the pathophysiology of burn injury. 2. Identify patient criteria for transfer to a burn center. 3. Calculate burn size and resuscitation requirements. 4. Treat inhalation injury in the acute setting. 5. Describe treatment options for burn injuries. 6. Describe preoperative selection, intraoperative procedures, and postoperative protocols for patients who require surgical care for their burn injuries. 7. Understand the survival and functional outcomes of burn injury.
The review article summarizes basic issues in the treatment of acute burn injury as practiced in 2008. The pathophysiology, treatment options, and expected outcomes for an acute burn are described and discussed. Special attention is directed to the nonoperative and surgical management of small to moderate-size burns that might be treated by the practicing plastic surgeon.
在学习本文后，参与者应能够：1. 描述烧伤的病理生理学。2. 确定转至烧伤中心的患者标准。3. 计算烧伤面积和复苏需求。4. 在急性情况下治疗吸入性损伤。5. 描述烧伤的治疗选择。6. 描述因烧伤需要手术治疗的患者的术前选择、术中操作和术后方案。7. 了解烧伤的生存和功能结局。
这篇综述文章总结了2008年实践中急性烧伤治疗的基本问题。描述并讨论了急性烧伤的病理生理学、治疗选择和预期结局。特别关注了可能由执业整形外科医生治疗的中小面积烧伤的非手术和手术管理。
