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[烧伤的外科治疗:小儿烧伤的特殊方面]

[Surgical treatment of burns : Special aspects of pediatric burns].

作者信息

Bührer G, Beier J P, Horch R E, Arkudas A

机构信息

Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Krankenhausstr. 12, 91054, Erlangen, Deutschland.

出版信息

Hautarzt. 2017 May;68(5):385-392. doi: 10.1007/s00105-017-3967-7.

Abstract

BACKGROUND

Treatment of pediatric burn patients is very important because of the sheer frequency of burn wounds and the possible long-term ramifications. Extensive burns need special care and are treated in specialized burn centers.

OBJECTIVES

The goal of this work is to present current standards in burn therapy and important innovations in the treatment of burns in children so that the common and small area burn wounds and scalds in pediatric patients in day-to-day dermatological practice can be adequately treated.

MATERIALS AND METHODS

Analysis of current literature, discussion of reviews, incorporation of current guidelines.

RESULTS

Burns in pediatric patients are common. Improvement of survival can be achieved by treatment in burn centers. The assessment of burn depth and area is an important factor for proper treatment. We give an overview for outpatient treatment of partial thickness burns. New methods may result in better long-term outcome.

CONCLUSIONS

Adequate treatment of burn injuries considering current literature and guidelines improves patient outcome. Rational implementation of new methods is recommended.

摘要

背景

由于烧伤伤口的高发性以及可能产生的长期影响,小儿烧伤患者的治疗非常重要。大面积烧伤需要特殊护理,并在专门的烧伤中心进行治疗。

目的

这项工作的目标是介绍烧伤治疗的当前标准以及儿童烧伤治疗的重要创新,以便在日常皮肤科实践中能够充分治疗小儿患者常见的小面积烧伤伤口和烫伤。

材料与方法

分析当前文献,讨论综述,纳入当前指南。

结果

小儿烧伤很常见。在烧伤中心进行治疗可提高生存率。烧伤深度和面积的评估是正确治疗的重要因素。我们概述了浅度烧伤的门诊治疗。新方法可能会带来更好的长期效果。

结论

根据当前文献和指南对烧伤损伤进行充分治疗可改善患者预后。建议合理实施新方法。

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