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小儿深Ⅱ度烧伤创面处理专家共识(2023年版)

[Expert consensus on the management of deep partial-thickness burn wounds in pediatric patients (2023 version)].

出版信息

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Oct 20;39(10):901-910. doi: 10.3760/cma.j.cn501225-20230730-00026.

DOI:10.3760/cma.j.cn501225-20230730-00026
PMID:37899554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630225/
Abstract

Burns are the leading cause of accidental injuries among Chinese children. Due to the strong wound repair ability and the demand for growth and development in pediatric patients, there are many options for the treatment of deep partial-thickness burn wounds in pediatric patients, while many controversies about the strategies for treatment of this kind of wounds also exist. This article assembled the consensus reached by experts in burns and relevant fields in China and abroad on the management of thermal-induced deep partial-thickness burn wounds in pediatric patients aged 1-6 years, including definition and diagnosis, surgical treatment, non-surgical treatment, wound dressings, application of growth factors, treatment of infectious wounds, prevention and treatment of scar, to provide guiding recommendations for the diagnosis and treatment of deep partial-thickness burn wounds in pediatric patients in China.

摘要

烧伤是中国儿童意外伤害的主要原因。由于小儿患者伤口修复能力强且有生长发育需求,小儿深度偏度烧伤创面的治疗有多种选择,同时对于这类创面的治疗策略也存在诸多争议。本文汇集了国内外烧伤及相关领域专家就1-6岁小儿热诱导深度偏度烧伤创面处理所达成的共识,内容包括定义与诊断、手术治疗、非手术治疗、创面敷料、生长因子应用、感染创面处理、瘢痕防治等,旨在为我国小儿深度偏度烧伤创面的诊治提供指导性建议。

相似文献

1
[Expert consensus on the management of deep partial-thickness burn wounds in pediatric patients (2023 version)].小儿深Ⅱ度烧伤创面处理专家共识(2023年版)
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2023 Oct 20;39(10):901-910. doi: 10.3760/cma.j.cn501225-20230730-00026.
2
Chinese expert consensus on the Management of Pediatric Deep Partial-Thickness Burn Wounds (2023 edition).《小儿深Ⅱ度烧伤创面处理中国专家共识(2023年版)》
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Cryopreserved cultured epidermal allografts achieved early closure of wounds and reduced scar formation in deep partial-thickness burn wounds (DDB) and split-thickness skin donor sites of pediatric patients.冷冻保存的培养异体表皮移植片可使小儿患者的深度部分厚度烧伤创面(DDB)和中厚皮片供皮区的伤口早期闭合,并减少瘢痕形成。
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Efficacy of hydrosurgical excision combined with skin grafting in the treatment of deep partial-thickness and full-thickness burns: A two-year retrospective study.水刀切除联合植皮治疗深度部分厚度和全厚度烧伤的疗效:一项为期两年的回顾性研究。
Burns. 2023 Aug;49(5):1087-1095. doi: 10.1016/j.burns.2022.07.012. Epub 2022 Jul 29.
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[Clinical study of cell sheets containing allogeneic keratinocytes and fibroblasts for the treatment of partial-thickness burn wounds].含异体角质形成细胞和成纤维细胞的细胞片治疗浅Ⅱ度烧伤创面的临床研究
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[Clinical expert consensus on application of topical growth factors in chronic wounds (2025 edition)].《局部生长因子在慢性伤口应用中的临床专家共识(2025年版)》
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本文引用的文献

1
Effect of silver-containing hydrofiber dressing on burn wound healing: A meta-analysis and systematic review.含银水凝胶纤维敷料对烧伤创面愈合影响的 Meta 分析及系统评价
J Cosmet Dermatol. 2023 May;22(5):1685-1691. doi: 10.1111/jocd.15639. Epub 2023 Jan 22.
2
The effectiveness of silver-containing hydrofiber dressing compared with topical silver sulfadiazine cream in pediatric patients with deep partial-thickness burns: a retrospective review.含银水凝胶敷料与磺胺嘧啶银乳膏治疗小儿深Ⅱ度烧伤的疗效比较:一项回顾性研究
Wound Manag Prev. 2022 Mar;68(3):29-36. doi: 10.25270/wmp.2022.3.2936.
3
Effect of precise partial scab removal on the repair of deep partial-thickness burn wounds in children: a retrospective study.精准部分痂皮清除对儿童深Ⅱ度烧伤创面修复的影响:一项回顾性研究
Transl Pediatr. 2021 Nov;10(11):3014-3022. doi: 10.21037/tp-21-500.
4
Effectiveness and Safety of Compound Polymyxin B Ointment in Treatment of Burn Wounds: A Meta-analysis.复方多粘菌素 B 软膏治疗烧伤创面的有效性和安全性:一项荟萃分析。
J Burn Care Res. 2022 Mar 23;43(2):453-461. doi: 10.1093/jbcr/irab099.
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Improving burn depth assessment for pediatric scalds by AI based on semantic segmentation of polarized light photography images.基于偏振光摄影图像语义分割的人工智能改善小儿烫伤深度评估
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Nanocellulose-based wound dressing for conservative wound management in children with second-degree burns.基于纳米纤维素的创伤敷料在儿童二度烧伤保守性伤口管理中的应用。
Int Wound J. 2021 Aug;18(4):478-486. doi: 10.1111/iwj.13548. Epub 2021 Jan 19.
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The modulation of the burn wound environment by negative pressure wound therapy: Insights from the proteome.负压伤口治疗对烧伤创面环境的调节作用:蛋白质组学的见解
Wound Repair Regen. 2021 Mar;29(2):288-297. doi: 10.1111/wrr.12887. Epub 2020 Dec 29.
8
Negative Pressure Wound Therapy in Pediatric Burn Patients: A Systematic Review.负压伤口疗法在小儿烧伤患者中的应用:系统评价。
Adv Wound Care (New Rochelle). 2021 May;10(5):270-280. doi: 10.1089/wound.2019.1089. Epub 2020 Jun 10.
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Burn injury.烧伤
Nat Rev Dis Primers. 2020 Feb 13;6(1):11. doi: 10.1038/s41572-020-0145-5.
10
Acticoat versus biobrane: a retrospective review on the treatment of paediatric mid-dermal torso burns.纳米银抗菌敷料与生物皮肤替代品的比较:小儿躯干中厚层烧伤治疗的回顾性研究
Int J Burns Trauma. 2019 Aug 15;9(4):82-87. eCollection 2019.