Rowan Matthew P, Cancio Leopoldo C, Elster Eric A, Burmeister David M, Rose Lloyd F, Natesan Shanmugasundaram, Chan Rodney K, Christy Robert J, Chung Kevin K
United States Army Institute for Surgical Research, 3698 Chambers Pass, Fort Sam Houston, TX, 78234, USA.
Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USA.
Crit Care. 2015 Jun 12;19:243. doi: 10.1186/s13054-015-0961-2.
Burns are a prevalent and burdensome critical care problem. The priorities of specialized facilities focus on stabilizing the patient, preventing infection, and optimizing functional recovery. Research on burns has generated sustained interest over the past few decades, and several important advancements have resulted in more effective patient stabilization and decreased mortality, especially among young patients and those with burns of intermediate extent. However, for the intensivist, challenges often exist that complicate patient support and stabilization. Furthermore, burn wounds are complex and can present unique difficulties that require late intervention or life-long rehabilitation. In addition to improvements in patient stabilization and care, research in burn wound care has yielded advancements that will continue to improve functional recovery. This article reviews recent advancements in the care of burn patients with a focus on the pathophysiology and treatment of burn wounds.
烧伤是一个普遍且棘手的重症监护问题。专业机构的工作重点在于稳定患者病情、预防感染以及优化功能恢复。在过去几十年里，对烧伤的研究一直备受关注，多项重要进展使得患者病情稳定更加有效，死亡率降低，尤其是在年轻患者和中度烧伤患者中。然而，对于重症监护医生来说，常常存在一些挑战，使患者的支持和稳定工作变得复杂。此外，烧伤创面复杂，可能带来一些独特的难题，需要后期干预或终身康复治疗。除了在患者病情稳定和护理方面取得的进展外，烧伤创面护理研究也取得了进步，这将继续改善功能恢复情况。本文综述了烧伤患者护理的最新进展，重点关注烧伤创面的病理生理学和治疗。
