烧伤治疗的演变：过去、现在和未来。

Evolution of Burn Care: Past, Present, and Future.

机构信息

Plastic, Reconstructive, and Laser Surgery, Shriners Hospitals for Children, Boston, MA, USA; Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA, USA.

出版信息

Clin Plast Surg. 2024 Apr;51(2):191-204. doi: 10.1016/j.cps.2023.10.002. Epub 2023 Dec 14.

DOI:10.1016/j.cps.2023.10.002

PMID:38429043

Abstract

Burn care evolved slowly from primitive treatments depicted in cave drawings 3500 years ago to a vibrant medical specialty which has made remarkable progress over the past 200 years. This evolution involved all areas of burn care including superficial dressings, wound assessment, fluid resuscitation, infection control, pathophysiology, nutritional support, burn surgery, and inhalation injury. Major advances that contributed to current standards of care and improved outcomes are highlighted in this article. New innovations are making possible a future where severe burn injuries will require less morbid interventions for acute care and outcomes will restore patients more closely to their pre-injury condition.

摘要

烧伤治疗从 3500 年前洞穴绘画中描述的原始治疗方法缓慢发展，成为一个充满活力的医学专业，在过去的 200 年中取得了显著的进展。这种演变涉及烧伤治疗的所有领域，包括浅表敷料、伤口评估、液体复苏、感染控制、病理生理学、营养支持、烧伤手术和吸入性损伤。本文重点介绍了对当前护理标准和改善结果做出贡献的主要进展。新的创新使严重烧伤的治疗在急性护理中需要更少的病态干预成为可能，结果将使患者更接近受伤前的状态。