Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2024 Jan 27;40:1-34. doi: 10.3760/cma.j.cn501225-20240112-00015.
Second-degree burn is the most common type of burns in clinical practice and hard to manage. The choice of its treatment requires not only consideration of the different outcomes that may arise from dressing changes or surgical treatments themselves, but also evaluation of factors such as burn site, ages of patients, and burn area. Meanwhile, there is no unified standard and specification for the diagnosis, classification, surgical procedure, and infection judgment and grading of second-degree burn wounds, which significantly affects the formulation of clinical treatment plans and the consistency of clinical studies. Moreover, there is relatively few guidelines or expert consensus for the management of second-degree burn wounds, and no comprehensive and systematic guideline or expert consensus for the treatment of second-degree burn wounds. The consensus writing group developed the based on evidence-based medicine evidence and expert opinion. This expert consensus put forward 58 specific recommendations from four aspects: pre-hospital first aid, non-surgical treatment, surgical treatment, and infection prevention and treatment of second-degree burns wounds, aiming to form a standardized clinical treatment plan for second-degree burns.
二度烧伤是临床实践中最常见的烧伤类型,且治疗难度较大。其治疗方案的选择不仅需要考虑换药或手术治疗本身可能产生的不同结果,还需要评估烧伤部位、患者年龄和烧伤面积等因素。同时,二度烧伤创面的诊断、分类、手术操作、感染判断及分级尚无统一的标准和规范,这严重影响了临床治疗方案的制定及临床研究的一致性。此外,关于二度烧伤创面处理的指南或专家共识相对较少,且尚无针对二度烧伤治疗的全面系统的指南或专家共识。共识编写组基于循证医学证据和专家意见制定了本共识。本专家共识从院前急救、非手术治疗、手术治疗以及二度烧伤创面感染防治四个方面提出了58条具体建议,旨在形成标准化的二度烧伤临床治疗方案。