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烧伤创面的全身及局部处理

Systemic and Local Management of Burn Wounds.

作者信息

Vigani Alessio, Culler Christine A

机构信息

Department of Clinical Sciences, North Carolina State University, College of Veterinary Medicine, 1052 William Moore Drive, Raleigh, NC 27607, USA.

Department of Clinical Sciences, North Carolina State University, College of Veterinary Medicine, 1052 William Moore Drive, Raleigh, NC 27607, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2017 Nov;47(6):1149-1163. doi: 10.1016/j.cvsm.2017.06.003. Epub 2017 Aug 10.

Abstract

Management of severe burn injury (SBI) requires prompt, complex, and aggressive care. Despite major advances in the management of SBI-including patient-targeted resuscitation, management of inhalation injuries, specific nutritional support, enhanced wound therapy, and infection control-the consequences of SBI often result in complex, multiorgan metabolic changes. Consensus guidelines and clinical evidence regarding specific management of small animal burn patients are lacking. This article aims to review updated therapeutic consideration for the systemic and local management of SBI that are proven effective to optimize outcomes in human burn patients and may translate to small animal patients.

摘要

严重烧伤(SBI)的管理需要迅速、复杂且积极的护理。尽管在SBI的管理方面取得了重大进展,包括以患者为目标的复苏、吸入性损伤的管理、特定的营养支持、强化伤口治疗和感染控制,但SBI的后果往往会导致复杂的多器官代谢变化。目前缺乏关于小动物烧伤患者具体管理的共识指南和临床证据。本文旨在综述SBI全身和局部管理的最新治疗考量,这些考量已被证明对优化人类烧伤患者的预后有效,并且可能适用于小动物患者。

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