Units of Diabetology, ASUR Marche, 63900 Fermo, Italy.
Humanitas Research Hospital, 20089 Rozzano, Italy.
Medicina (Kaunas). 2024 Jul 24;60(8):1201. doi: 10.3390/medicina60081201.
: Heat burns are a prevalent type of trauma. Rapid and effective treatment is crucial for deep burns to minimize complications. Autologous skin grafting is a highly effective treatment for full-thickness burns. A multidisciplinary team plays a vital role in managing burn patients undergoing skin grafting, from initial contact to outpatient follow-up. : This case study involves a 56-year-old patient who suffered burns on 60% of his body following an alcohol explosion on an open flame. The patient underwent autologous skin grafting at a Major Burn Center. Initial symptoms included severe pain and immobility, but the patient remained alert and breathed spontaneously. The diagnosis was a loss of epidermis and dermis with burns covering 60-69% of the total body surface area (TBSA) and third-degree burns covering 10% TBSA. Post-discharge, the patient showed significant improvement, with complete healing of the grafts and partial resolution of other lesions. Six months after the intervention, the patient significantly improved his autonomy and mobility. : This case highlights the importance of burn prevention and the critical role of multidisciplinary teams in the entire care pathway of burn patients. Appropriate diagnosis, complete treatment, and continuous multidisciplinary support are essential to prevent complications and ensure recovery.
热烧伤是一种常见的创伤。对于深度烧伤，快速有效的治疗对于最小化并发症至关重要。自体皮肤移植是治疗全层烧伤的一种非常有效的方法。多学科团队在管理接受皮肤移植的烧伤患者方面发挥着至关重要的作用，从最初的接触到门诊随访。
本病例研究涉及一名 56 岁的患者，他在明火上的酒精爆炸中全身 60%的面积被烧伤。该患者在一家主要烧伤中心接受了自体皮肤移植。最初的症状包括严重的疼痛和活动受限，但患者保持清醒并能自主呼吸。诊断为表皮和真皮丧失，烧伤面积覆盖 60-69%的总体表面积（TBSA），三度烧伤覆盖 10% TBSA。出院后，患者明显好转，移植的皮肤完全愈合，其他病变部分缓解。干预后 6 个月，患者的自主性和活动能力显著提高。
本病例强调了烧伤预防的重要性和多学科团队在烧伤患者整个护理路径中的关键作用。正确的诊断、完整的治疗和持续的多学科支持对于预防并发症和确保康复至关重要。
