烧伤科主导的综合重症监护病房救治危重烧伤的临床实践和模式探讨

张丕红; 张怡坤; 梁鹏飞

doi:10.3760/cma.j.cn501225-20240906-00329

烧伤科主导的综合重症监护病房救治危重烧伤的临床实践和模式探讨

doi: 10.3760/cma.j.cn501225-20240906-00329

中南大学湘雅医院烧伤整形外科,长沙　　410008

基金项目:

国家自然科学基金面上项目 81772084

详细信息

通讯作者:
张丕红,Email：zphong@aliyun.com

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- 文章访问数: 57
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- PDF下载量: 8
- 被引次数: 0
出版历程
- 收稿日期: 2024-09-06
- 网络出版日期: 2024-11-25

Clinical practice and mode exploration of comprehensive intensive care unit led by burn department in the treatment of critical burns

Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha410008, China

Funds:

General Program of National Natural Science Foundation of China 81772084

More Information

Corresponding author: Zhang Pihong, Email: zphong@aliyun.com

摘要

摘要: 目前,尽管国内诸多烧伤中心和治疗单位建立了烧伤重症监护病房（ICU）,但因其容量有限,以及烧伤事故的突发性和烧伤救治专业队伍的逐步转型,越来越多的危重烧伤患者主要在综合ICU接受救治；综合ICU也逐步采取半开放式管理模式,通过以ICU或烧伤科医师为主体的多学科协作进行危重烧伤救治。该文结合临床实践分享烧伤科主导的综合ICU在半开放式管理模式下救治危重烧伤的经验,简要介绍危重烧伤病程中的容量管理策略和感染防控体会,探讨烧伤科主导的综合ICU救治危重烧伤的模式,以便烧伤科医师结合烧伤治疗经验和现代化重症监测诊疗技术,更好地救治危重烧伤患者。
- 烧伤 /
- 重症监护病房 /
- 半开放式管理 /
- 救治经验 /
- 学科合作
Abstract: At present, although many burn centers and treatment units in China have established burn intensive care units (ICU), due to their limited capacity, the suddenness of burn accidents, and the gradual specialty-change of professional burn rescue teams, more and more critically burned patients are mainly treated in comprehensive ICU. The comprehensive ICU is gradually adopting a semi-open management mode, with multidisciplinary collaboration led by ICU or burn specialists for critical burn treatment. Based on clinical practice, this paper shares the experience of treating critical burns with semi-open management led by the burn department in comprehensive ICU, briefly introduces the capacity management strategies and infection prevention and control experiences in the course of critical burns, and explores the mode of comprehensive ICU led by the burn department in treating critical burns, so that the burn surgeon can better treat critically burned patients by combining burn treatment experience and modern critical monitoring and diagnosis and treatment technology.
- Burns /
- Intensive care units /
- Semi-open management /
- Treatment experience /
- Multidisciplinary collaboration
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