磨痂术在烧伤创面中的临床应用全国专家共识(2021版)
doi: 10.3760/cma.j.cn501120-20210110-00013
National expert consensus on the clinical application of eschar dermabrasion in burn wounds (2021 version)
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摘要:
磨痂术作为烧伤外科三大清创术式之一,适用于处理以深Ⅱ度为主的新鲜烧伤创面。尽管该术式已在临床应用多年,但各单位应用该术式的时机、器具、步骤、术后敷料选择以及术后换药方式等仍有较大不同,造成临床效果参差不齐。中华医学会烧伤外科学分会专家组通过查阅相关文献,筛选分析高级别证据文章,多次深入讨论后,形成具有指导意义的专家共识,以期为磨痂术在烧伤创面的临床应用提供科学、规范的指导。
Abstract:As one of the three major debridement procedures in burn surgery, eschar dermabrasion is optimal to manage fresh deep partial-thickness burn wounds. Despite decades' application in clinic, considerable discrepancies exist in various units on the timing, instruments, procedures, selection of post-operative dressings, and patterns of post-operative dressing change, etc., leading to inconsistent clinical outcomes. After thorough review of relative literature, screening and analysis of high-level evidence articles and multiple in-depth discussions, the expert team of Chinese Burn Association has formed an instructional expert consensus, hoping to provide scientific and standardized guidance for application of eschar dermabrasion in burn wounds.
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Key words:
- Burns /
- Dermabrasion /
- Expert consensus /
- Indications /
- Contraindications
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