Arturson G
Scand J Plast Reconstr Surg. 1984;18(1):11-20. doi: 10.3109/02844318409057398.
The history of burns treatment in Sweden shows that not until an organized Burns Unit was established in 1954 was there any real progress in this field. From that date and onward the treatment of burns has continuously been improved based on results from experimental and clinical research. It is interesting to note that most of the burn research during this period has slowly changed from description of different organ failures towards studies of functional disturbances on cell level. The resuscitation following thermal injury is nowadays usually under control. The greatest problems arise later, caused by hypermetabolism, malnutrition and burn wound sepsis. The combined treatment with aggressive surgery, hyperalimentation, environmental control, avoidance of multiple organ failure etc., mainly based on results from the last 20 years of burn research, has significantly increased the survival rate of severe thermal injuries.
瑞典烧伤治疗的历史表明,直到1954年成立了有组织的烧伤治疗中心,该领域才取得了真正的进展。从那时起,基于实验和临床研究的结果,烧伤治疗不断得到改进。值得注意的是,在此期间,大多数烧伤研究已逐渐从对不同器官功能衰竭的描述转向对细胞水平功能障碍的研究。热损伤后的复苏如今通常已得到控制。最大的问题出现在后期,由高代谢、营养不良和烧伤创面脓毒症引起。主要基于过去20年烧伤研究结果的积极手术、胃肠外营养、环境控制、避免多器官功能衰竭等综合治疗方法,显著提高了严重热损伤的存活率。