Kim Leo K P, Martin Hugh C O, Holland Andrew J A
The Children's Hospital at Westmead Burns Research Institute, Sydney Medical School, The University of Sydney, New South Wales, Australia.
J Paediatr Child Health. 2012 Apr;48(4):290-5. doi: 10.1111/j.1440-1754.2011.02128.x. Epub 2011 Jun 17.
Burns commonly occur in children and their first aid remains inadequate despite burn prevention programmes. While scald injuries predominate, contact and flame burns remain common. Although typically less severe injuries overall than those in adults, hypertrophic scarring complicating both the burn wound and even donor sites occur more frequently in children. The heterogeneous nature of burn wounds, coupled with the difficulties associated with the early clinical assessment of burn depth, has stimulated the application of novel technologies to predict burn wound outcome. This review explores current best practice in the management of paediatric burns, with a focus on prevention, optimal first aid, resuscitation, burn wound prediction and wound management strategies.
烧伤在儿童中很常见，尽管有烧伤预防计划，但他们的急救措施仍然不足。虽然烫伤占主导地位，但接触性烧伤和火焰烧伤也很常见。尽管儿童烧伤总体上通常不如成人严重，但烧伤创面甚至供皮区出现增生性瘢痕的情况在儿童中更为常见。烧伤创面的异质性，加上早期临床评估烧伤深度存在困难，促使人们应用新技术来预测烧伤创面的愈合结果。本综述探讨了小儿烧伤治疗的当前最佳实践，重点关注预防、最佳急救、复苏、烧伤创面预测和创面管理策略。
