Physical Medicine and Rehabilitation, University of Texas, Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-9055, USA.
Physical Medicine and Rehabilitation, University of Texas, Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-9055, USA.
Surg Clin North Am. 2023 Jun;103(3):505-513. doi: 10.1016/j.suc.2023.02.004. Epub 2023 Mar 21.
Better understanding of long-term outcomes after burn injury is essential for the burn clinician. Contractures are present in almost half of patients at discharge. Although less common, neuropathy and heterotopic ossification may be missed or go unaddressed. Close attention to psychological distress and to challenges with community reentry is essential. Obviously long-term problems with skin issues occur but other issues must be attended to maximize health and quality of life after injury. Facilitating access to community resources and providing long-term medical follow-up should be the standard of care.
更好地了解烧伤后的长期预后对于烧伤临床医生至关重要。几乎有一半的患者在出院时存在挛缩。尽管不常见,但神经病变和异位骨化可能会被遗漏或未得到处理。密切关注心理困扰和重返社区的挑战是至关重要的。显然,皮肤问题会长期存在,但其他问题也必须得到关注,以最大限度地提高受伤后的健康和生活质量。为患者提供获取社区资源的途径并进行长期的医疗随访应该是护理标准。