慢性烧伤创面的处理
Management of the Chronic Burn Wound.
作者信息
Elkins-Williams Stephen Tyler, Marston William A, Hultman Charles Scott
机构信息
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of North Carolina Medical Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Division of Vascular Surgery, Department of Surgery, University of North Carolina Medical Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
出版信息
Clin Plast Surg. 2017 Jul;44(3):679-687. doi: 10.1016/j.cps.2017.02.024. Epub 2017 May 2.
This article reviews the current evidence in using hyperbaric oxygen therapy (HBOT) in burn wounds. There is also separate consideration of diabetic foot burns and a protocol for use of HBOT in a specific case. The challenges of using HBOT in an acute burn care setting are reviewed. Next the pathophysiology of Marjolin ulcers is reviewed. The current thinking in diagnosis, treatment, and prevention of Marjolin ulcers is discussed. Finally, a background in using topical growth factors (tGF) is provided, followed by a summary of the current evidence of tGF in burn wounds.
本文综述了在烧伤创面使用高压氧治疗（HBOT）的现有证据。还单独探讨了糖尿病足烧伤以及在特定病例中使用HBOT的方案。回顾了在急性烧伤护理环境中使用HBOT所面临的挑战。接下来回顾了马乔林溃疡的病理生理学。讨论了目前在马乔林溃疡的诊断、治疗和预防方面的思路。最后，提供了使用局部生长因子（tGF）的背景知识，随后总结了tGF在烧伤创面的现有证据。
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