Department of Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
John Sealy School of Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA.
Surg Clin North Am. 2023 Jun;103(3):453-462. doi: 10.1016/j.suc.2023.01.007. Epub 2023 Mar 21.
Skin serves as a protective barrier against infection, prevents excessive fluid and electrolyte losses, performs crucial thermoregulation, and provides tactile feedback of surroundings. The skin also plays an essential role in human perception of body image, personal appearance, and self-confidence. With these many diverse functions, understanding normal anatomic composition of skin is pivotal to evaluating the extent of its disruption from burn injury. This article discusses the pathophysiology, initial evaluation, subsequent progression, and healing of burn wounds. By delineating the various microcellular and macrocellular alterations of burn injury, this review also augments providers' capacity to deliver patient-centered, evidence-based burn care.
皮肤是人体的天然保护屏障，能够抵御感染，防止过多的液体和电解质流失，调节体温，以及为人体提供触觉反馈。皮肤在人类对自身形象、外表和自信心的认知中也起着至关重要的作用。由于具有如此多样化的功能，了解皮肤的正常解剖结构对于评估烧伤对皮肤造成的损伤程度至关重要。本文讨论了烧伤创面的病理生理学、初步评估、后续进展和愈合过程。通过阐述烧伤损伤的各种微观和宏观细胞变化，本综述还提高了医疗服务提供者为患者提供以证据为基础的烧伤护理的能力。
