Yoshino Yuichiro, Ohtsuka Mikio, Kawaguchi Masakazu, Sakai Keisuke, Hashimoto Akira, Hayashi Masahiro, Madokoro Naoki, Asano Yoshihide, Abe Masatoshi, Ishii Takayuki, Isei Taiki, Ito Takaaki, Inoue Yuji, Imafuku Shinichi, Irisawa Ryokichi, Ohtsuka Masaki, Ogawa Fumihide, Kadono Takafumi, Kawakami Tamihiro, Kukino Ryuichi, Kono Takeshi, Kodera Masanari, Takahara Masakazu, Tanioka Miki, Nakanishi Takeshi, Nakamura Yasuhiro, Hasegawa Minoru, Fujimoto Manabu, Fujiwara Hiroshi, Maekawa Takeo, Matsuo Koma, Yamasaki Osamu, Le Pavoux Andres, Tachibana Takao, Ihn Hironobu
Department of Dermatology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Department of Dermatology, Fukushima Medical University, Fukushima, Japan.
J Dermatol. 2016 Sep;43(9):989-1010. doi: 10.1111/1346-8138.13288. Epub 2016 Mar 12.
Burns are a common type of skin injury encountered at all levels of medical facilities from private clinics to core hospitals. Minor burns heal by topical treatment alone, but moderate to severe burns require systemic management, and skin grafting is often necessary also for topical treatment. Inappropriate initial treatment or delay of initial treatment may exert adverse effects on the subsequent treatment and course. Therefore, accurate evaluation of the severity and initiation of appropriate treatment are necessary. The Guidelines for the Management of Burn Injuries were issued in March 2009 from the Japanese Society for Burn Injuries as guidelines concerning burns, but they were focused on the treatment for extensive and severe burns in the acute period. Therefore, we prepared guidelines intended to support the appropriate diagnosis and initial treatment for patients with burns that are commonly encountered including minor as well as moderate and severe cases. Because of this intention of the present guidelines, there is no recommendation of individual surgical procedures.
烧伤是一种常见的皮肤损伤,在从私人诊所到核心医院的各级医疗设施中都有发生。轻度烧伤仅通过局部治疗即可愈合,但中度至重度烧伤需要全身治疗,而且局部治疗通常也需要进行皮肤移植。不适当的初始治疗或初始治疗延迟可能会对后续治疗和病程产生不利影响。因此,准确评估烧伤严重程度并开始适当治疗是必要的。日本烧伤学会于2009年3月发布了《烧伤治疗指南》,作为有关烧伤的指南,但这些指南侧重于急性期大面积严重烧伤的治疗。因此,我们制定了旨在支持对包括轻度、中度和重度病例在内的常见烧伤患者进行适当诊断和初始治疗的指南。由于本指南的这一目的,未推荐具体的外科手术程序。