Guo G H, Jiang Z Y
Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.
Zhonghua Shao Shang Za Zhi. 2021 Oct 20;37(10):905-910. doi: 10.3760/cma.j.cn501120-20210209-00055.
The fatality rate of patients with critical burns is extremely high, and the clinical treatment is challenging. By reviewing the history on treatment of critically ill burns patients, this article elaborates and analyzes the advanced concepts and technologies at home and abroad about the critical burn treatment in the areas including shock and fluid resuscitation, hypermetabolism and nutrition, inhalation injury and respiratory support, acute kidney injury and continuous renal replacement therapy, wound assessment and management, infection and control, coagulopathy and its prevention and treatment, etc. Furthermore, some thoughts on the future development trend of critical burn treatment are put forward as reference for people in the same field.
严重烧伤患者的死亡率极高，临床治疗颇具挑战性。通过回顾重症烧伤患者的治疗历程，本文阐述并分析了国内外在严重烧伤治疗领域的先进理念和技术，涵盖休克与液体复苏、高代谢与营养、吸入性损伤与呼吸支持、急性肾损伤与连续性肾脏替代治疗、创面评估与处理、感染与控制、凝血功能障碍及其防治等方面。此外，还对严重烧伤治疗的未来发展趋势提出了一些思考，以供同行参考。
