Asko-Seljavaara S
Acta Physiol Scand Suppl. 1986;554:209-13.
A major burn causes in the body severe local and general alterations which last weeks or months. During the last two decades, a rapid progress of new treatment modalities, has dramatically improved burn care. With modern treatment, patients with burns covering 60-80 per cent of the body surface area can survive. Advances in treatment are based on burn research carried out in burn centers and units. Six major topics have recently been clinically and experimentally investigated: burn wound, fluid replacement, immune mechanisms, metabolism, inhalation injury and excisional therapy. A vertebrate model is essential for burn research. Before clinical use, the pathophysiology of the burn wound and the causes of immune suppression as well as new therapeutic modalities have to be first investigated at experimental level.
大面积烧伤会在体内引起严重的局部和全身变化,这些变化会持续数周或数月。在过去二十年中,新治疗方法的迅速发展极大地改善了烧伤护理。采用现代治疗方法,体表面积烧伤达60%至80%的患者能够存活。治疗的进展基于烧伤中心和科室开展的烧伤研究。最近对六个主要课题进行了临床和实验研究:烧伤创面、液体复苏、免疫机制、代谢、吸入性损伤和切除疗法。脊椎动物模型对烧伤研究至关重要。在临床应用之前,必须首先在实验层面研究烧伤创面的病理生理学、免疫抑制的原因以及新的治疗方法。