Plastic Surgeon, Plastic and Reconstructive Department, Burns Unit, Virgen del Rocio University Hospital, Sevilla, Spain.
Med Intensiva. 2017 Aug-Sep;41(6):356-364. doi: 10.1016/j.medin.2017.02.008. Epub 2017 Apr 26.
Since one of the main challenges in treating acute burn injuries is preventing infection, early excising of the eschar and covering of the wound becomes critical. Non-viable tissue is removed by initial aggressive surgical debridement. Many surgical options for covering the wound bed have been described, although split-thickness skin grafts remain the standard for the rapid and permanent closure of full-thickness burns. Significant advances made in the past decades have greatly improved burns patient care, as such that major future improvements in survival rates seem to be more difficult. Research into stem cells, grafting, biomarkers, inflammation control, and rehabilitation will continue to improve individualized care and create new treatment options for these patients.
由于治疗急性烧伤的主要挑战之一是预防感染，因此早期切除焦痂并覆盖伤口至关重要。通过初始积极的外科清创术去除无活力的组织。已经描述了许多覆盖伤口床的手术选择，尽管尽管对于全层烧伤的快速和永久性闭合，仍然使用皮肤移植皮片。过去几十年取得的重大进展极大地改善了烧伤患者的护理，因此，生存率的重大提高似乎更加困难。干细胞、移植、生物标志物、炎症控制和康复方面的研究将继续改善个性化护理，并为这些患者创造新的治疗选择。
