儿童急性皮肤衰竭研究进展

尹希; 常菲; 陈杰; 顾丽娟; 葛燚红; 毛佳敏

doi:10.3760/cma.j.cn501225-20231014-00113

儿童急性皮肤衰竭研究进展

doi: 10.3760/cma.j.cn501225-20231014-00113

尹希¹,
常菲^1, ,,
陈杰²,
顾丽娟³,
葛燚红⁴,
毛佳敏⁵

1.
苏州大学附属张家港医院烧伤整形科，苏州　　215600
2.
苏州大学附属张家港医院神经内科，苏州　　215600
3.
苏州大学附属张家港医院泌尿外科，苏州　　215600
4.
苏州大学附属张家港医院普外科，苏州　　215600
5.
苏州大学附属张家港医院产科，苏州　　215600

基金项目:

张家港市卫生青年科技项目 ZJGQNKJ202203

详细信息

通讯作者:
常菲，Email：592505793@qq.com

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- 被引次数: 0
出版历程
- 收稿日期: 2023-10-14

Research progresses on acute skin failure in children

Yin Xi¹,
Chang Fei^{1
, ,},
Chen Jie²,
Gu Lijuan³,
Ge Yihong⁴,
Mao Jiamin⁵

1.
Department of Burns and Plastic Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou 215600, China
2.
Department of Neurology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou 215600, China
3.
Department of Urology, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou 215600, China
4.
Department of General Surgery, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou 215600, China
5.
Department of Obstetrics, Zhangjiagang Hospital Affiliated to Soochow University, Suzhou 215600, China

Funds:

Zhangjiagang Health Youth Science and Technology Project ZJGQNKJ202203

More Information

Corresponding author: Chang Fei, Email: 592505793@qq.com

摘要

摘要: 急性皮肤衰竭（ASF）是指发生在皮肤和皮下组织因血流动力学不稳定和/或低灌注所导致的不可避免的损伤。目前国内外对于成人ASF已有一定的认识和报道，但对儿童ASF鲜有报道。该文从儿童ASF的定义、病理生理学变化、危险因素、临床表现与管理等方面进行综述，提出建议以期为儿童ASF的临床诊断和治疗提供思路，推动对儿童ASF的深入研究。
- 儿童 /
- 压力性溃疡 /
- 多器官功能衰竭 /
- 皮肤 /
- 急性皮肤衰竭
Abstract: Acute skin failure (ASF) is an inevitable damage to the skin and subcutaneous tissue caused by hemodynamic instability and/or low perfusion. At present, there are some understandings and reports about adult ASF at home and abroad, but there are few reports about children's ASF. This article reviewed the definition, pathophysiological changes, risk factors, clinical manifestations, and management of children's ASF, and put forward suggestions in order to provide ideas for clinical diagnosis and treatment of children's ASF, and promote the further study of children's ASF.
- Child /
- Pressure ulcer /
- Multiple organ failure /
- Skin /
- Acute skin failure
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参考文献(37)

[1]	LangemoDK,BrownG.Skin fails too: acute, chronic, and end-stage skin failure[J].Adv Skin Wound Care,2006,19(4):206-211.DOI: 10.1097/00129334-200605000-00014.
[2]	BeldonP.Skin changes at life´s end (SCALE): a consensus document[J].Wounds UK,2010,6(1):169-170.
[3]	DelmoreB,CoxJ,RolnitzkyL,et al.Differentiating a pressure ulcer from acute skin failure in the adult critical care patient[J].Adv Skin Wound Care,2015,28(11):514-524; quiz 525-526.DOI: 10.1097/01.ASW.0000471876.11836.dc.
[4]	ShahinES,DassenT,HalfensRJ.Pressure ulcer prevalence and incidence in intensive care patients: a literature review[J].Nurs Crit Care,2008,13(2):71-79.DOI: 10.1111/j.1478-5153.2007.00249.x.
[5]	CohenKE,ScanlonMC,BemanianA,et al.Pediatric skin failure[J].Am J Crit Care,2017,26(4):320-328.DOI: 10.4037/ajcc2017806.
[6]	SemerciR,UmaçEH,YılmazD,et al.Analysis of the prevalence and risk factors of pressure injuries in the hospitalized pediatric population: a retrospective study[J].J Tissue Viability,2023,32(3):333-338.DOI: 10.1016/j.jtv.2023.04.004.
[7]	李环,江仕爽,俞群,等.重症监护室患儿压力性损伤发生特征及影响因素分析[J].中华护理杂志,2018,53(3):261-266.DOI: 10.3761/j.issn.0254-1769.2018.03.001.
[8]	BrennanMR,ThomasL,KlineM.Prelude to death or practice failure? Trombley-brennan terminal tissue injury update[J].Am J Hosp Palliat Care,2019,36(11):1016-1019.DOI: 10.1177/1049909119838969.
[9]	JacobA,GrabherD.The phenomenon of trombley-brennan terminal tissue injury in a neonate: a case study[J].Adv Neonatal Care,2020,20(2):171-175.DOI: 10.1097/ANC.0000000000000688.
[10]	GiriB,DeyS,DasT,et al.Chronic hyperglycemia mediated physiological alteration and metabolic distortion leads to organ dysfunction, infection, cancer progression and other pathophysiological consequences: an update on glucose toxicity[J].Biomed Pharmacother,2018,107:306-328.DOI: 10.1016/j.biopha.2018.07.157.
[11]	MennesOA,van NettenJJ,van BaalJG,et al.Assessment of microcirculation in the diabetic foot with laser speckle contrast imaging[J].Physiol Meas,2019,40(6):065002.DOI: 10.1088/1361-6579/ab2058.
[12]	MervisJS,PhillipsTJ.Pressure ulcers: pathophysiology, epidemiology, risk factors, and presentation[J].J Am Acad Dermatol,2019,81(4):881-890.DOI: 10.1016/j.jaad.2018.12.069.
[13]	GuptaSC,KunnumakkaraAB,AggarwalS,et al.Inflammation, a double-edge sword for cancer and other age-related diseases[J].Front Immunol,2018,9:2160.DOI: 10.3389/fimmu.2018.02160.
[14]	WautierJL,WautierMP.Vascular permeability in diseases[J].Int J Mol Sci,2022,23(7):3645.DOI: 10.3390/ijms23073645.
[15]	JayadevR,MoraisMRPT,EllingfordJM,et al.A basement membrane discovery pipeline uncovers network complexity, regulators, and human disease associations[J].Sci Adv,2022,8(20):eabn2265.DOI: 10.1126/sciadv.abn2265.
[16]	Van DammeN,Van HeckeA,RemueE,et al.Physiological processes of inflammation and edema initiated by sustained mechanical loading in subcutaneous tissues: a scoping review[J].Wound Repair Regen,2020,28(2):242-265.DOI: 10.1111/wrr.12777.
[17]	王文华,贾英萍,王园园,等.某三甲儿童专科医院婴幼儿围手术期压疮风险的现状调查及影响因素分析[J].中国卫生统计,2021,38(1):104-106,110.DOI: 10.3969/j.issn.1002-3674.2021.01.027.
[18]	AndayaniRP,NurhaeniN,WandaD.Assessing effectiveness of regular repositioning in preventing pressure ulcers in children[J].Pediatr Rep,2020,12(Suppl 1):S8696.DOI: 10.4081/pr.2020.8696.
[19]	SmithHA,MooreZ,TanMH.Cohort study to determine the risk of pressure ulcers and developing a care bundle within a paediatric intensive care unit setting[J].Intensive Crit Care Nurs,2019,53:68-72.DOI: 10.1016/j.iccn.2019.04.008.
[20]	KulikLA,HasbaniNR,StellarJJ,et al.Hospital-acquired pressure injuries in children with congenital heart disease: prevalence and associated factors[J].Pediatr Crit Care Med,2019,20(11):1048-1056.DOI: 10.1097/PCC.0000000000002077.
[21]	唐绪容,周蓉,屈虹,等.肝移植患儿术中压力性损伤发生特征及影响因素分析[J].中国护理管理,2019,19(8):1153-1158.DOI: 10.3969/j.issn.1672-1756.2019.08.008.
[22]	AttingerCE,EvansKK,BulanE,et al. Angiosomes of the foot and ankle and clinical implications for limb salvage: reconstruction, incisions, and revascularization[J].Plast Reconstr Surg,2006,117(7 Suppl):261S-293S.DOI: 10.1097/01.prs.0000222582.84385.54.
[23]	YamadaH,InoueY,ShimokawaY,et al.Skin stiffness determined from occlusion of a horizontally running microvessel in response to skin surface pressure: a finite element study of sacral pressure ulcers[J].Med Biol Eng Comput,2017,55(1):79-88.DOI: 10.1007/s11517-016-1500-2.
[24]	LugerTA,StadlerBM,KatzSI,et al.Epidermal cell(keratinocyte)-derived thymocyte-activating factor(ETAF)[J].J Immunol,1981,127(4):1493-1498.
[25]	HoldenCA,Berth-JonesJ.Eczema,lichenification,prurigo and erythroderma[M]//Burns T,Breathnach S,Cox N.Rook's textbook of dermatology.7th ed.Oxford:Blackwell-Science,2004:17.1-17.55.
[26]	InamadarAC,PalitA.Acute skin failure: concept, causes, consequences and care[J].Indian J Dermatol Venereol Leprol,2005,71(6):379-385.DOI: 10.4103/0378-6323.18007.
[27]	FrantzR,HuangS,AreA,et al.Stevens-Johnson syndrome and toxic epidermal necrolysis: a review of diagnosis and management[J].Medicina (Kaunas),2021,57(9):895.DOI: 10.3390/medicina57090895.
[28]	赖庆松,陈爱祺,赖宇霖,等.健康儿童皮肤透皮失水率与角质层含水量的相关性研究[J].中华皮肤科杂志,2023,56(1):35-39.DOI: 10.35541/cjd.20220672.
[29]	荆晨晨,王淑娟,韩春彦,等.脓毒性休克病人皮肤花斑评分联合乳酸对急性皮肤衰竭的预测价值[J].护理研究,2023,37(13):2347-2351.DOI: 10.12102/j.issn.1009-6493.2023.13.010.
[30]	HillR,PetersenA.Skin failure clinical indicator scale: proposal of a tool for distinguishing skin failure from a pressure injury[J].Wounds,2020,32(10):272-278.
[31]	DelmoreB,CoxJ,SmithD,et al.Acute skin failure in the critical care patient[J].Adv Skin Wound Care,2020,33(4):192-201.DOI: 10.1097/01.ASW.0000604172.69953.23.
[32]	ZeeviT,LevyA,BraunerN,et al.Effects of ambient conditions on the risk of pressure injuries in bedridden patients-multi-physics modelling of microclimate[J].Int Wound J,2018,15(3):402-416.DOI: 10.1111/iwj.12877.
[33]	顾莺,张玉侠,沈国妹,等.40例儿科病人院内枕部压疮发生的回顾性分析[J].护理研究,2013,27(13):1226-1227.DOI: 10.3969/j.issn.1009-6493.2013.13.032.
[34]	Everett DayS,KoiralaB,McIltrotK.Repositioning strategies to prevent pressure injuries in the ICU: integrative review on implementation factors[J].Adv Skin Wound Care,2022,35(6):344-351.DOI: 10.1097/01.ASW.0000821772.03685.77.
[35]	GillespieBM,WalkerRM,LatimerSL,et al.Repositioning for pressure injury prevention in adults: an abridged cochrane systematic review and meta-analysis[J].Int J Nurs Stud,2021,120:103976.DOI: 10.1016/j.ijnurstu.2021.103976.
[36]	McClaveSA,TaylorBE,MartindaleRG,et al.Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)[J].JPEN J Parenter Enteral Nutr,2016,40(2):159-211.DOI: 10.1177/0148607115621863.
[37]	MunozN,PosthauerME,CeredaE,et al.The role of nutrition for pressure injury prevention and healing: the 2019 international clinical practice guideline recommendations[J].Adv Skin Wound Care,2020,33(3):123-136.DOI: 10.1097/01.ASW.0000653144.90739.ad.