儿童深Ⅱ度烧伤创面处理专家共识（2023版）

中华医学会烧伤外科学分会

doi:10.3760/cma.j.cn501225-20230730-00026

儿童深Ⅱ度烧伤创面处理专家共识（2023版）
点击查看共识英文版(PDF) 共识英文版(HTML)

doi: 10.3760/cma.j.cn501225-20230730-00026

中华医学会烧伤外科学分会

基金项目:

上海市生物医药领域定向项目 22DX1900600

上海市重中之重研究中心项目 2023ZZ02013

上海市临床重点专科项目 shslczdzk02302

详细信息

通信作者：刘琰，上海交通大学医学院附属瑞金医院灼伤整形科，上海 200025，Email： rjliuyan@126.com

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出版历程
- 收稿日期: 2023-07-30

Expert consensus on the management of deep partial-thickness burn wounds in pediatric patients (2023 version)

Funds:

Shanghai Directed Projects of Biopharmaceutical Field 22DX1900600

Shanghai Research Center for Burn and Wound Repair 2023ZZ02013

Shanghai Municipal Key Clinical Specialty of China shslczdzk02302

摘要

摘要:
烧伤是我国儿童意外伤害的主要原因。因儿童创面修复能力强及生长发育的需求，儿童深Ⅱ度烧伤创面的治疗选择较多，有关该类创面治疗策略的争议也较多。该文集合了国内外烧伤及相关领域专家，针对热力学因素所致的1~6岁儿童深Ⅱ度烧伤创面的处理，在定义与诊断、手术治疗、非手术治疗、创面覆盖物、生长因子应用、感染性创面的治疗、瘢痕防治等方面形成共识，以期为我国儿童深Ⅱ度烧伤创面的诊疗提供指导性建议。
- 烧伤 /
- 儿童 /
- 深Ⅱ度创面 /
- 创面处理 /
- 专家共识
Abstract:
Burns are the leading cause of accidental injuries among Chinese children. Due to the strong wound repair ability and the demand for growth and development in pediatric patients, there are many options for the treatment of deep partial-thickness burn wounds in pediatric patients, while many controversies about the strategies for treatment of this kind of wounds also exist. This article assembled the consensus reached by experts in burns and relevant fields in China and abroad on the management of thermal-induced deep partial-thickness burn wounds in pediatric patients aged 1-6 years, including definition and diagnosis, surgical treatment, non-surgical treatment, wound dressings, application of growth factors, treatment of infectious wounds, prevention and treatment of scar, to provide guiding recommendations for the diagnosis and treatment of deep partial-thickness burn wounds in pediatric patients in China.
- Burns /
- Child /
- Deep partial-thickness wounds /
- Wound management /
- Expert consensus
所有编写组成员均声明不存在利益冲突，无商业组织向本共识编写组支付费用。本共识制订过程中需要的资金来自上海市生物医药领域定向项目（22DX1900600）、上海市重中之重研究中心项目（2023ZZ02013）、上海市临床重点专科项目（shslczdzk02302），且推荐意见未受资助影响

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参考文献(63)

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表1 2001版牛津大学循证医学中心证据分级标准

表1. Oxford Centre for Evidence-Based Medicine: levels of evidence (2001)

证据级别	具体描述
Ⅰa	基于多个RCT的系统评价，且文献的同质性好
Ⅰb	单个RCT研究，且可信区间窄
Ⅰc	全或无的病例系列报告
Ⅱa	基于多个队列研究的系统评价
Ⅱb	单个队列研究或质量较差的RCT
Ⅱc	结局研究或病因学研究
Ⅲa	病例对照研究的系统评价
Ⅲb	病例对照研究
Ⅳ	单个病例系列研究
Ⅴ	专家意见
注：RCT为随机对照试验