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[烧伤的手——创新与当前研究]

[The burned hand - innovations and current research].

作者信息

Popp Daniel, Tapking Christian, Branski Ludwik Krystof

机构信息

University of Texas Medical Branch at Galveston Department of Surgery.

Shriners Hospitals for Children-Galveston Department of Surgery.

出版信息

Handchir Mikrochir Plast Chir. 2019 Sep;51(5):347-355. doi: 10.1055/a-0997-6619. Epub 2019 Oct 1.

Abstract

Hand function is crucial for everyday and professional life. Even small burns can have a great impact on hand function, either from the injury itself or from scar contractions. Preservation and restoration of hand function are essential for mental and physical well-being of burn survivors. Reduced hand function can lead to social isolation and occupational invalidity. Even though one hand represents only 3 % of the total body surface area, hand burns are categorized as severe burn injuries and are a primary indication for treatment in a dedicated burn center. Hands are involved in more than 80 % of all severe burn injuries, making them the most affected body part. Independent of the severity of the overall burn, hand injuries need to be treated with highest priority.Novel approaches in acute and long-term care of burned hands should aim for long-term improvement in functional and aesthetic outcomes. All burn patients with hand involvement should be able to be reintegrated into society, perform activities of everyday life and return to their profession. The purpose of this review is to highlight recent advancements in research of the burned hand and to identify areas in which further research is needed. We summarized all relevant and recent original and review articles on hand burns; including acute treatment, aftercare, reconstruction, injuries due to E-cigarettes and methods for assessment of hand function. These findings were put into context of established methods in order to provide an outlook on possible future innovations.

摘要

手部功能对于日常生活和职业生涯至关重要。即使是小面积烧伤,无论是损伤本身还是瘢痕挛缩,都可能对手部功能产生重大影响。对手部功能的保护和恢复对于烧伤幸存者的身心健康至关重要。手部功能下降会导致社会隔离和职业失能。尽管一只手仅占全身表面积的3%,但手部烧伤仍被归类为严重烧伤,是专门烧伤中心进行治疗的主要指征。在所有严重烧伤中,超过80%涉及手部,使其成为受影响最严重的身体部位。无论总体烧伤的严重程度如何,手部损伤都需要最优先治疗。烧伤手部急性和长期护理的新方法应旨在长期改善功能和美学效果。所有手部受累的烧伤患者都应能够重新融入社会,进行日常生活活动并重返工作岗位。本综述的目的是强调烧伤手部研究的最新进展,并确定需要进一步研究的领域。我们总结了所有关于手部烧伤的相关和近期的原创及综述文章;包括急性治疗、后期护理、重建、电子烟导致的损伤以及手部功能评估方法。将这些研究结果与既定方法相结合,以便对未来可能的创新进行展望。

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