留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

危重烧伤一体化救治模式的实践与思考

李孝建 汤文彬 李尚桦

李孝建, 汤文彬, 李尚桦. 危重烧伤一体化救治模式的实践与思考[J]. 中华烧伤与创面修复杂志, 2024, 40(12): 1-6. DOI: 10.3760/cma.j.cn501225-20240827-00317.
引用本文: 李孝建, 汤文彬, 李尚桦. 危重烧伤一体化救治模式的实践与思考[J]. 中华烧伤与创面修复杂志, 2024, 40(12): 1-6. DOI: 10.3760/cma.j.cn501225-20240827-00317.
Li Xiaojian,Tang Wenbin,Li Shanghua.Practice and thinking of integrated treatment mode for critical burns[J].Chin J Burns Wounds,2024,40(12):1-6.DOI: 10.3760/cma.j.cn501225-20240827-00317.
Citation: Li Xiaojian,Tang Wenbin,Li Shanghua.Practice and thinking of integrated treatment mode for critical burns[J].Chin J Burns Wounds,2024,40(12):1-6.DOI: 10.3760/cma.j.cn501225-20240827-00317.

危重烧伤一体化救治模式的实践与思考

doi: 10.3760/cma.j.cn501225-20240827-00317
详细信息
    通讯作者:

    李孝建,Email:lixj64@163.com

Practice and thinking of integrated treatment mode for critical burns

More Information
  • 摘要: 危重烧伤的救治,要在进一步提高救治成功率的基础上,防治救治过程中各种严重并发症,缩短创面愈合时间,改善创面愈合质量,减少创面愈合后的瘢痕增生及挛缩等,使危重烧伤患者治愈后重返工作岗位、重返社会。该文结合暨南大学附属广州红十字会医院烧伤整形科在危重烧伤的院前急救与早期救治、早期专科救治与康复、救治过程中的多学科合作和医护合作、区域性救治体系等一体化救治模式方面的临床实践,探讨在尚未形成完善的危重烧伤救治体系的情况下,危重烧伤一体化救治模式的组成和应用,供同道们参考。

     

  • 参考文献(33)

    [1] WangY,ZhangX,LiuT,et al.Epidemiology and outcome analysis of burns during explosion accident at a Major Center in Southwestern China From 2002 to 2016[J].J Burn Care Res,2021,42(1):49-62.DOI: 10.1093/jbcr/iraa103.
    [2] 黄跃生.早期救治与康复一体化的烧伤治疗模式[J].中国医师杂志,2003,5(10):1297-1298,1301.DOI: 10.3760/cma.j.issn.1008-1372.2003.10.001.
    [3] HengX,CaiP,YuanZ,et al.Efficacy and safety of extracorporeal membrane oxygenation for burn patients: a comprehensive systematic review and meta-analysis[J/OL].Burns Trauma,2023,11:tkac056[2024-08-27].https://pubmed.ncbi.nlm.nih.gov/36873286/.DOI: 10.1093/burnst/tkac056.
    [4] 潘艳艳,范友芬.基于重症镇痛镇静管理对严重烧伤合并吸入性损伤患者的影响[J].中华烧伤与创面修复杂志,2024,40(12):***.DOI: 10.3760/cma.j.cn501225-20240625-00248.
    [5] 刘琰,原博.危重烧伤救治中一些关键问题的探讨[J/CD].中华损伤与修复杂志(电子版),2022,17(6):466-474.DOI: 10.3877/cma.j.issn.1673-9450.2022.06.002.
    [6] CartottoR,JohnsonL,RoodJM,et al.Clinical practice guideline: early mobilization and rehabilitation of critically ill burn patients[J].J Burn Care Res,2023,44(1):1-15.DOI: 10.1093/jbcr/irac008.
    [7] 付小兵.对构建以“伤”防治为特征的国家紧急医学救援学科体系建设的再思考[J].中华创伤杂志,2022,38(1):4-7.DOI: 10.3760/cma.j.cn501098-20211129-00617.
    [8] WangCP,ShihBJ,LiawSJ.Prehospital scheduling management by the critical path method for burn mass casualty incidents[J].Inquiry,2021,58:469580211028583.DOI: 10.1177/00469580211028583.
    [9] LinCH,LinCH,TaiCY,et al.Challenges of burn mass casualty incidents in the prehospital setting: lessons from the formosa fun coast park color party[J].Prehosp Emerg Care,2019,23(1):44-48.DOI: 10.1080/10903127.2018.1479473.
    [10] AlmelandSK,DepoortereE,JennesS,et al.Burn mass casualty incidents in Europe: a European response plan within the European Union Civil Protection Mechanism[J].Burns,2022,48(8):1794-1804.DOI: 10.1016/j.burns.2022.07.008.
    [11] LeclercT,SjöbergF,JennesS,et al.European Burns Association guidelines for the management of burn mass casualty incidents within a European response plan[J].Burns,2023,49(2):275-303.DOI: 10.1016/j.burns.2022.12.011.
    [12] HughesA,AlmelandSK,LeclercT,et al.Recommendations for burns care in mass casualty incidents: WHO Emergency Medical Teams Technical Working Group on Burns (WHO TWGB) 2017-2020[J].Burns,2021,47(2):349-370.DOI: 10.1016/j.burns.2020.07.001.
    [13] LimWC,HillAM,EdgarDW,et al.Multidisciplinary staff perceived barriers and enablers to early mobilization of patients with burns in the ICU[J].Burns,2023,49(7):1688-1697.DOI: 10.1016/j.burns.2023.02.011.
    [14] KazisLE,SagerA,BaileyHM,et al.Physical rehabilitation and mental health care after burn injury: a multinational study[J].J Burn Care Res,2022,43(4):868-879.DOI: 10.1093/jbcr/irab214.
    [15] MurtaughB,WarthmanR,BoulterT.Rehabilitation management of the burned hand[J].Phys Med Rehabil Clin N Am,2023,34(4):767-782.DOI: 10.1016/j.pmr.2023.05.001.
    [16] TangD,Li-TsangCW,AuRK,et al.Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China[J/OL].Burns Trauma,2016,4:32[2024-08-27].https://pubmed.ncbi.nlm.nih.gov/27826591/.DOI: 10.1186/s41038-016-0058-4.
    [17] Mc KittrickA,KornhaberR,de JongA,et al.The role of multiplatform messaging applications in burns care and rehabilitation: a systematic review[J].Burns,2024,50(6):1424-1436.DOI: 10.1016/j.burns.2024.03.013.
    [18] 汤文彬,李颖亨,李婷,等.“同心缘”烧伤互助会:烧伤患者社会康复新模式[J].中国社会工作,2022,(18):22-24.DOI: 10.3969/j.issn.1674-3857.2022.18.007.
    [19] 李孝建.烧伤专科重症监护病房建设和管理的实践与思考[J].中华烧伤杂志,2018,34(3):136-139.DOI: 10.3760/cma.j.issn.1009-2587.2018.03.003.
    [20] 陈旭,覃凤均,孙永华.加强重症烧伤的学科建设和规范化烧伤重症加强治疗病房设置的思考[J/CD].中华损伤与修复杂志(电子版),2021,16(5):369-373.DOI: 10.3877/cma.j.issn.1673-9450.2021.05.001.
    [21] 余惠,朱飘飘,陈丽映,等.脉搏轮廓心输出量监测技术在严重烧伤患者休克期液体复苏中的应用[J].中华烧伤杂志,2021,37(2):136-142.DOI: 10.3760/cma.j.cn501120-20200908-00403.
    [22] SchultzMJ,HornJ,HollmannMW,et al.Ventilation practices in burn patients-an international prospective observational cohort study[J/OL].Burns Trauma,2021,9:tkab034[2024-08-27].https://pubmed.ncbi.nlm.nih.gov/34926707/.DOI: 10.1093/burnst/tkab034.
    [23] RaghuramAC,StofmanGM,ZiembickiJA,et al.Surgical excision of burn wounds[J].Clin Plast Surg,2024,51(2):233-240.DOI: 10.1016/j.cps.2023.11.002.
    [24] KennyEM,LagzielT,HultmanCS,et al.Skin substitutes and autograft techniques: temporary and permanent coverage solutions[J].Clin Plast Surg,2024,51(2):241-254.DOI: 10.1016/j.cps.2023.12.001.
    [25] TejiramS,RomanowskiKS,PalmieriTL.Initial management of severe burn injury[J].Curr Opin Crit Care,2019,25(6):647-652.DOI: 10.1097/MCC.0000000000000662.
    [26] 赵婧楠,蒋航,陈宾,等.重症烧伤患者早期凝血功能变化探究[J].中华烧伤与创面修复杂志,2023,39(11):1057-1063.DOI: 10.3760/cma.j.cn501120-20210915-00320.
    [27] 李孝建,汤文彬.重视严重烧伤后期并发持续炎症-免疫抑制-分解代谢综合征[J].中华烧伤与创面修复杂志,2023,39(5):407-410.DOI: 10.3760/cma.j.cn501225-20230131-00030.
    [28] HuY,OuS,FengQ,et al.Incidence and predictors of perioperative atrial fibrillation in burn intensive care unit patients following burn surgery[J].Burns,2022,48(5):1092-1096.DOI: 10.1016/j.burns.2022.04.012.
    [29] ChenB,ZhaoJ,ZhangZ,et al.Clinical characteristics and risk factors for severe burns complicated by early acute kidney injury[J].Burns,2020,46(5):1100-1106.DOI: 10.1016/j.burns.2019.11.018.
    [30] CarrougherGJ.Burn nursing[J].Am J Nurs,2024,124(2):16.DOI: 10.1097/01.NAJ.0001006676.50176.06.
    [31] CooperC,CochranA,CoffeyR.Nurses can resuscitate[J].J Burn Care Res,2021,42(2):167-170.DOI: 10.1093/jbcr/iraa153.
    [32] 中国城市创伤救治体系建设标准专家共识专家组.中国城市创伤救治体系建设标准专家共识(2024年版)[J].中华骨科杂志,2024,44(1):1-5.DOI: 10.3760/cma.j.cn121113-20230922-00191.
    [33] 潘鑫,花长松,王鹏,等.严重创伤院前院内强化一体化救治体系的效果研究[J].中华卫生应急电子杂志,2018,4(6):351-353.DOI: 10.3877/cma.j.issn.2095-9133.2018.06.007.
  • 加载中
图(1)
计量
  • 文章访问数:  26
  • HTML全文浏览量:  5
  • PDF下载量:  5
  • 被引次数: 0
出版历程
  • 收稿日期:  2024-08-27
  • 网络出版日期:  2024-11-25

目录

    /

    返回文章
    返回