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大面积热烧伤的麻醉注意事项

Anaesthetic considerations for major thermal injury.

作者信息

Lamb J D

出版信息

Can Anaesth Soc J. 1985 Jan;32(1):84-92. doi: 10.1007/BF03008545.

DOI:10.1007/BF03008545
PMID:3971211
Abstract

Extensive thermal injury represents a major insult to body homeostasis. The anaesthetist, while providing anaesthesia for a multitude of debridement and reconstructive procedures, is also likely to assist in initial resuscitation and stabilization and subsequent intensive care management. A thorough understanding of the major systemic and end-organ effects after a major burn allow for a better appreciation of the many pertinent considerations for anaesthesia during the immediate post-burn phase as well as the later period of reconstruction and rehabilitation.

摘要

大面积热损伤对机体稳态构成重大损害。麻醉医生在为众多清创和重建手术提供麻醉的同时,还可能协助进行初始复苏与稳定病情,以及后续的重症监护管理。深入了解大面积烧伤后的主要全身和终末器官效应,有助于更好地认识烧伤后即刻以及后期重建与康复阶段麻醉的诸多相关注意事项。

相似文献

1
Anaesthetic considerations for major thermal injury.大面积热烧伤的麻醉注意事项
Can Anaesth Soc J. 1985 Jan;32(1):84-92. doi: 10.1007/BF03008545.
2
In view of standardization Part 2: Management of challenges in the initial treatment of burn patients in Burn Centers in Germany, Austria and Switzerland.鉴于标准化第2部分:德国、奥地利和瑞士烧伤中心烧伤患者初始治疗中的挑战管理。
Burns. 2017 Mar;43(2):318-325. doi: 10.1016/j.burns.2016.08.004. Epub 2016 Sep 21.
3
Treatment of burns.
Curr Probl Surg. 1987 Jun;24(6):341-97. doi: 10.1016/0011-3840(87)90010-4.
4
Burn wound care.烧伤创面护理。
Ann Chir Plast. 1979;24(1):27-33.
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Burns: a review of the pathophysiology, treatment, and complications of thermal injury.烧伤:热损伤的病理生理学、治疗及并发症综述
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6
Burn and scald injuries.烧伤和烫伤
East Mediterr Health J. 2005 Sep-Nov;11(5-6):1099-109.
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Topical therapies and antimicrobials in the management of burn wounds.烧伤创面处理中的局部治疗与抗菌药物
Crit Care Nurs Clin North Am. 2004 Mar;16(1):1-11. doi: 10.1016/j.ccell.2003.09.008.
8
Current burn treatment.当前的烧伤治疗方法。
Adv Surg. 1984;18:145-76.
9
Topical treatment of pediatric patients with burns: a practical guide.儿童烧伤患者的局部治疗:实用指南。
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Efficacy of debridement and wound cleansing with 2% hydrogen peroxide on graft take in the chronic-colonized burn wounds; a randomized controlled clinical trial.慢性定植烧伤创面应用 2%双氧水清创对植皮成活率的影响:一项随机对照临床试验。
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引用本文的文献

1
Emergency management of the airway outside the operating room.手术室以外气道的紧急处理
Can J Anaesth. 1992 Dec;39(10):1069-89. doi: 10.1007/BF03008378.

本文引用的文献

1
The Effects of Inhaled Heat on the Air Passages and Lungs: An Experimental Investigation.吸入热对气道和肺部的影响:一项实验研究。
Am J Pathol. 1945 Mar;21(2):311-31.
2
The laws of combination of haemoglobin with carbon monoxide and oxygen.血红蛋白与一氧化碳和氧气的结合规律。
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3
CHANGING CONCEPTS IN BURN SEPSIS.烧伤脓毒症观念的转变
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4
Increased d-tubocurarine requirement following major thermal injury.严重热损伤后对筒箭毒碱的需求量增加。
Anesthesiology. 1980 Apr;52(4):352-5.
5
Pathophysiology and management of the complications resulting from fire and the inhaled products of combustion: review of the literature.火灾及吸入燃烧产物所致并发症的病理生理学与处理:文献综述
Crit Care Med. 1980 Feb;8(2):94-8. doi: 10.1097/00003246-198002000-00008.
6
Elevated plasma binding cannot account for the burn-related d-tubocurarine hyposensitivity.血浆结合力升高不能解释烧伤相关的筒箭毒碱敏感性降低。
Anesthesiology. 1981 May;54(5):378-82. doi: 10.1097/00000542-198105000-00006.
7
Adult body temperature and heated humidification of anesthetic gases during general anesthesia.全身麻醉期间成人的体温及麻醉气体的加热湿化
Anesth Analg. 1981 Oct;60(10):736-41.
8
Persistent ionized hypocalcemia in patients during resuscitation and recovery phases of body burns.身体烧伤患者在复苏和恢复阶段持续存在离子化低钙血症。
Crit Care Med. 1981 Jun;9(6):454-8. doi: 10.1097/00003246-198106000-00004.
9
The anesthetic management of the severely burned patient.严重烧伤患者的麻醉管理
Intensive Care Med. 1981 Jan;7(2):55-62. doi: 10.1007/BF01687261.
10
Esophageal lead for intraoperative electrocardiographic monitoring.
Anesth Analg. 1982 Sep;61(9):781-5.