Phillips L G, Robson M C, Heggers J P
Division of Plastic Surgery, University of Texas Medical Branch, Galveston 77550.
Postgrad Med. 1989 Jan;85(1):219-22, 226, 231. doi: 10.1080/00325481.1989.11700548.
Minor burns are common but require early and appropriate care to avoid infection and scarring. Damage can be arrested by immersing the burn in cold water as soon as possible. The goals of care are then to remove dead tissue and protect viable tissue during healing. Very superficial burns require only application of an emollient to limit inflammation and pain and prevent desiccation. Partial-thickness burns that are clean and superficial may benefit from use of a biosynthetic bilaminar membrane dressing, which forms a skin substitute while protecting the wound. A patient with an infected wound or one on a primary area (hands, feet, face, or perineum) may have to be hospitalized to ensure proper care.
轻度烧伤很常见,但需要尽早进行适当护理,以避免感染和留疤。一旦烧伤,应尽快将伤处浸入冷水中,以阻止损伤加重。护理的目标是在愈合过程中清除坏死组织并保护存活组织。极浅度烧伤仅需涂抹润肤剂以减轻炎症和疼痛,并防止干燥。清洁且表浅的浅二度烧伤使用生物合成双分子层膜敷料可能有益,该敷料可形成皮肤替代物并保护伤口。伤口感染的患者或主要部位(手、脚、面部或会阴)受伤的患者可能需要住院以确保得到妥善护理。