高压电烧伤后微循环障碍及其诊治研究

张庆富

doi:10.3760/cma.j.cn501225-20240523-00194

高压电烧伤后微循环障碍及其诊治研究

doi: 10.3760/cma.j.cn501225-20240523-00194

张庆富^,

河北医科大学第三医院烧伤与创面修复中心,河北省烧伤救治技术创新中心,石家庄　　050051

基金项目:

河北省自然科学基金面上项目 H2024206495

河北省创新能力提升计划项目 225676120H

详细信息

通讯作者:
Email：zhangqfdoctor@163.com

计量
- 文章访问数: 189
- HTML全文浏览量: 33
- PDF下载量: 28
- 被引次数: 0
出版历程
- 收稿日期: 2024-05-23

Research on microcirculatory disorders and their diagnosis and treatment after high-voltage electric burns

Zhang Qingfu^,

Burn and Wound Repair Center, the Third Hospital of Hebei Medical University, Hebei Burn Treatment Technology Innovation Center, Shijiazhuang 050051, China Email: zhangqfdoctor@163.com

Funds:

General Program of Natural Science Foundation of Hebei Province of China H2024206495

Hebei Province Innovation Capability Enhancement Plan Project 225676120H

摘要

摘要: 微循环障碍是高压电烧伤重要的病理生理改变,在高压电烧伤进行性损伤及其并发症的发生和发展过程中起重要作用。高压电烧伤不仅能引起创面微循环障碍,还能引起创面远隔组织和器官的微循环障碍；不仅能引起微血管结构和功能的损害,还能引起微循环血流动力学和细胞流变学的异常。认识高压电烧伤后微循环障碍的特点及变化规律,合理使用改善微循环的治疗方法,对于促进高压电烧伤创面愈合及有效防治相关并发症均有重要意义。该文系统阐述了高压电烧伤后微循环障碍的特点,总结了高压电烧伤后微循环障碍的临床诊断和治疗方法,为高压电烧伤的综合治疗提供新思路。
- 烧伤,电 /
- 微循环 /
- 诊断 /
- 治疗学 /
- 细胞流变学 /
- 创面修复
Abstract: Microcirculatory disorders are important pathological and physiological changes in high-voltage electric burns, playing an important role in the occurrence and development of progressive injury and complications of high-voltage electric burns. High-voltage electric burns can cause microcirculatory disorders not only in the wounds, but also in distant tissue and organs; it can not only cause damage to the structure and function of microvasculature, but also cause abnormalities in microcirculation hemodynamics and cell rheology. Understanding the characteristics and changing patterns of microcirculatory disorders in high-voltage electric burns, and using appropriate treatment methods to improve microcirculation, are of great significance for promoting wound healing and effectively preventing relevant complications in high-voltage electric burns. This article systematically elaborates on the characteristics of microcirculatory disorders after high-voltage electric burns, summarizes the clinical diagnosis and treatment methods of microcirculatory disorders after high-voltage electric burns, and provides new ideas for the comprehensive treatment of high-voltage electric burns.
- Burns, electric /
- Microcirculation /
- Diagnosis /
- Therapeutics /
- Cell rheology /
- Wound repair
作者声明不存在利益冲突

HTML全文

参考文献(26)

[1]	张庆富, 闫宝勇, 周慧敏, 等. 高压电烧伤家兔球结膜微循环变化和己酮可可碱干预作用[J].中华烧伤杂志,2010,26(3):185-191. DOI: 10.3760/cma.j.issn.1009-2587.2010.03.005.
[2]	张庆富,王清江,周慧敏,等.高压电烧伤病人足甲襞微循环变化及临床意义[J].中国微循环,2006,10(5):363-366.
[3]	张庆富, 周慧敏, 王车江, 等. 高压电烧伤对兔心脏微循环的影响[J]. 中华烧伤杂志, 2012, 28(3):173-177. DOI: 10.3760/cma.j.issn.1009-2587.2012.03.004.
[4]	ZhouHM, XuSJ, WangL, et al. Influences of high-voltage electrical burns on the pulmonary microcirculation in rabbits[J]. Clin Hemorheol Microcirc, 2016,62(3):193-203. DOI: 10.3233/CH-141921.
[5]	张庆富, 白永强. 高压电烧伤家兔胰腺微循环的变化[J]. 中华烧伤杂志, 2009, 25(5): 368-371. DOI: 10.3760/cma.j.issn.1009-2587.2009.05.015.
[6]	张庆富, 许顺江, 梁利民, 等. 高压电烧伤对大鼠小肠浆膜表面微循环灌流量的影响及己酮可可碱的干预作用[J].中华烧伤杂志,2017,33(3):166-170. DOI: 10.3760/cma.j.issn.1009-2587.2017.03.008.
[7]	张庆富, 李勇, 冯建科, 等. 高压电烧伤大鼠血小板流变行为变化及乌司他丁的干预效果[J]. 中华烧伤杂志, 2017, 33(12): 744-749. DOI: 10.3760/cma.j.issn.1009-2587.2017.12.005.
[8]	张庆富, 周慧敏, 王车江. 经颅高压电烧伤对大鼠肠系膜微血管白细胞流变行为的影响及乌司他丁干预作用[J].中华烧伤杂志,2011,27(5):375-380. DOI: 10.3760/cma.j.issn.1009-2587.2011.05.015.
[9]	张庆富, 周慧敏. 实验高压电烧伤血液流变学变化及已酮可可碱的治疗作用[J].中国微循环,2007,11(5):309-312.
[10]	张庆富,刘鹏,周慧敏.高压电烧伤大鼠血清内皮素1与一氧化氮变化及乌司他丁的干预作用[J].中华烧伤杂志,2012,28(3):190-192. DOI: 10.3760/cma.j.issn.1009-2587.2012.03.009.
[11]	KaushanskyK. Thrombopoietin, the primary regulator of platelet production: from mythos to logos, a thirty-year journey[J]. Biomolecules, 2024, 14(4): 489.DOI: 10.3390/biom14040489.
[12]	CaoZ, LiuY, WangY, et al. Research progress on the role of PDGF/PDGFR in type 2 diabetes[J]. Biomed Pharmacother, 2023,164:114983. DOI: 10.1016/j.biopha.2023.114983.
[13]	WangY, LiJ. Current progress in growth factors and extracellular vesicles in tendon healing[J]. Int Wound J, 2023,20(9):3871-3883. DOI: 10.1111/iwj.14261.
[14]	DadaAO, DadaOA, AkinbamiAA, et al. An evaluation of platelet factor 4, beta-thromboglobulin and mean platelet volume in the assessment of thrombotic risks in subjects with diabetes mellitus at Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria[J]. West Afr J Med, 2023,40(4):357-361.
[15]	ZiranuP, PrettaA, AimolaV, et al. CD44: a new prognostic marker in colorectal cancer?[J]. Cancers (Basel), 2024,16(8):1569.DOI: 10.3390/cancers16081569.
[16]	张庆富, 郝嘉文. 高压电烧伤进行性损伤的机制及防治策略[J].中华烧伤与创面修复杂志,2023,39(8):718-723. DOI: 10.3760/cma.j.cn501225-20230331-00107.
[17]	KorzeniowskiT, StrużynaJ, TorresK. Evaluation of bromelain-based enzymatic debridement combined with laser doppler imaging and healing of burn wounds[J]. Med Sci Monit, 2022,28:e936713. DOI: 10.12659/MSM.936713.
[18]	MarotzJ, SchulzT, SeiderS, et al. 3D-perfusion analysis of burn wounds using hyperspectral imaging[J]. Burns, 2021,47(1):157-170. DOI: 10.1016/j.burns.2020.06.001.
[19]	李全, 巴特, 曹胜军, 等. 血栓弹力图联合常规凝血检测对电烧伤患者创伤性凝血病的早期诊断价值[J]. 中华烧伤与创面修复杂志, 2024, 40(8): 740-745. DOI: 10.3760/cma.j.cn501225-20240416-00135.
[20]	郇京宁, 张利军. 微循环障碍研究进展对烧伤休克和烧伤脓毒症休克治疗的启发[J].中华烧伤与创面修复杂志,2022,38(5):401-407. DOI: 10.3760/cma.j.cn501225-20220323-00082.
[21]	程兴, 詹剑华, 罗锦花, 等. 前列地尔对深Ⅱ度烫伤大鼠早期创面愈合的作用[J].中华烧伤杂志,2020,36(4):317-322. DOI: 10.3760/cma.j.cn501120-20190125-00017.
[22]	龙华晴, 吴人照, 吴焕淦, 等. 生物信息反馈红外治疗仪对局部与远端皮肤温度影响的临床观察[J].世界中医药,2016,11(12):2525-2528,2532. DOI: 10.3969/j.issn.1673-7202.2016.12.004.
[23]	闫聚瀚, 李向东, 赵朋涛, 等. 七叶皂苷钠对小鼠肾缺血再灌注损伤的保护作用[J].中国临床药理学杂志,2023,39(20):2961-2964. DOI: 10.13699/j.cnki.1001-6821.2023.20.016.
[24]	中国老年医学学会烧创伤分会. 烧伤休克防治全国专家共识(2020版)[J]. 中华烧伤杂志, 2020, 36(9): 786-792. DOI: 10.3760/cma.j.cn501120-20200623-00323.
[25]	李聪颖, 赵学刚, 郝嘉文, 等. 高压电烧伤大鼠肾脏氧化应激损伤的特点及灯盏花素的干预作用[J]. 中华烧伤与创面修复杂志, 2024, 40(8): 746-755. DOI: 10.3760/cma.j.cn501225-20240222-00070.
[26]	张庆富, 高志娟, 张紫薇, 等. 高压电烧伤对大鼠血清血小板相关因子及血小板聚集数的影响及血必净的干预作用[J].中华烧伤杂志,2020,36(6):426-432. DOI: 10.3760/cma.j.cn501120-20200407-00212.