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2018 Vol. 34, No. 10

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Burn Medicine Over the Past 60 Years
My stories in 60 years′ career of burn medicine
Chen Bi
2018, 34(10): 659-661. doi: 10.3760/cma.j.issn.1009-2587.2018.10.001
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In my 60 years′ career of burn medicine, I worked in rural areas for more than 3 years, such as joining in a touring medical team, saving lives wounded in a flood disaster, marching and camping training, carrying out open-door medical teaching, etc. All these experiences made me set up my medical et...
Review of the 60 years′ development of Jiangxi burn medicine on the 60th anniversary of Chinese burn discipline
Guo Guanghua, Li Guohui
2018, 34(10): 662-664. doi: 10.3760/cma.j.issn.1009-2587.2018.10.002
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This year marks the 60th anniversary of establishment of burn discipline in China and also the 60th anniversary of the development of burn medicine in Jiangxi. This paper reviews the development history of burn discipline in China and development history, present situation, and direction of burn med...
Respecting discipline laws and innovating leaping development
Yang Minlie, Lyu Guozhong
2018, 34(10): 665-668. doi: 10.3760/cma.j.issn.1009-2587.2018.10.003
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Under the guidance of the predecessors and the efforts of the whole staff, Department of Burns and Plastic Surgery of Wuxi Third People′s Hospital has grown into a well-known regional burn diagnosis and treatment center in China after about 30 years of development. Summarizing the experience, gain, ...
Establishment and development of Department of Burns and Plastic Surgery of the Affiliated Hospital of Nankai University (Tianjin No.4 Hospital)
Feng Shihai
2018, 34(10): 669-671. doi: 10.3760/cma.j.issn.1009-2587.2018.10.004
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Tianjin No.4 Hospital is a general hospital featured in burns, and the Department of Burns and Plastic Surgery has six secondary clinical departments with 110 hospital beds. After hard working by several generations, the department has successively developed into a key discipline in Tianjin and Tian...
Expert Forum
Reconsideration of burn scar treatment
Huan Jingning
2018, 34(10): 672-676. doi: 10.3760/cma.j.issn.1009-2587.2018.10.005
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Since the mechanisms of scar formation are not fully understood, at least to date, there is no ideal method to prevent and treat scar after burn. In recent years, on the basis of conventional treatments, such as pressure therapy, external use of silicone gel, and intralesional injections of corticos...
Original Article·Treatment and Mechanism Research of Scar
Application effects of CT angiography and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap
Xia Chengde, Xue Jidong, Di Haiping, Han Dawei, Cao Dayong, Li Qiang, Jing Fuqin, Niu Xihua
2018, 34(10): 677-682. doi: 10.3760/cma.j.issn.1009-2587.2018.10.006
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Objective To explore application effects of CT angiography (CTA) and three-dimensional reconstruction technique in repairing scar around the mouth and chin with expanded forehead axial flap. Methods From June 2013 to October 2017, 9 patients with hyperplastic scar around the mouth and chin after dee...
Effects of N-(4-hydroxyphenyl) retinamide lipid microbubble combined with ultrasound on human keloid fibroblasts
Wang Mengjiao, Fang Yuhui, Jin Chenglong, Jin Zhehu
2018, 34(10): 683-689. doi: 10.3760/cma.j.issn.1009-2587.2018.10.007
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Objective To explore the effects of N-(4-hydroxyphenyl) retinamide (4HPR), 4HPR liposome (4HPR-L), and 4HPR lipid microbubble (4HPR-LM) combined with ultrasound on proliferation, apoptosis, and cell cycle of human keloid fibroblasts (Fbs). Methods (1) 4HPR-L and 4HPR-LM were prepared by hydration ul...
Research on the correlation between mechanical signaling molecules of hypertrophic scar and post injury time in burn patients in scar remodeling stage
Zhang Yuting, Li Pan, Luo Lun, Li-Tsang Cecilia W. P.
2018, 34(10): 690-695. doi: 10.3760/cma.j.issn.1009-2587.2018.10.008
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Objective To analyze the correlation between integrin β1, focal adhesion kinase (FAK), extracellular signal-regulated kinase 1/2 (ERK1/2) of hypertrophic scar (HS) and post injury time in burn patients in scar remodeling stage. Methods Thirty-four patients with 34 HS specimens admitted to Department...
Original Article
Epidemiological investigation on 1 946 hospitalized pediatric patients with burns
He Shan, Zuo Zelan
2018, 34(10): 696-700. doi: 10.3760/cma.j.issn.1009-2587.2018.10.009
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Objective To investigate the epidemiological characteristics of hospitalized pediatric patients with burns and explore the prevention and treatment strategy of pediatric burns. Methods Medical records of pediatric burn patients hospitalized in multiple departments of Children′s Hospital of Chongqing...
Observation on the effects of multidisciplinary comprehensive intervention in integrated treatment of patients with extremely severe burns
Zhou Qin, Wang Qing, Li Shuangshuang, Lu Ying, Wang Xue, Zhang Rui, Chen Yuan, Shi Xueqin, Jiao Xiaochun, Hu Dahai
2018, 34(10): 701-706. doi: 10.3760/cma.j.issn.1009-2587.2018.10.010
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Objective To explore the effects of multidisciplinary comprehensive intervention in integrated treatment of patients with extremely severe burns. Methods One hundred and ten patients hospitalized in our center from July 2013 to August 2017 met the criteria for inclusion in this study, and their medi...
Study on the application of dexmedetomidine combined with remifentanil in dressing change of conscious patients with non-intubation in burn intensive care unit
Yang Zhibin, Shen Jiangyong, Mi Kede, Ma Qiang, Wu Yinsheng, Yao Ming
2018, 34(10): 707-713. doi: 10.3760/cma.j.issn.1009-2587.2018.10.011
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Objective To observe the analgesic and sedative effect and safety of application of dexmedetomidine combined with remifentanil in dressing change of conscious patients with non-intubation in burn intensive care unit. Methods Forty patients conforming to the study criteria hospitalized in our burn in...
Effects of minimally invasive tangential excision in treating deep partial-thickness burn wounds on trunk and limbs in pediatric patients in the early stage post burn
Li Feng, Chi Yunfei, Hu Quan, Yin Huinan, Liu Wei, Chen Qi, Zhang Qinxue, Chen Xin, Cao Feichao, Liang Zhanling, Sun Yingjie
2018, 34(10): 714-718. doi: 10.3760/cma.j.issn.1009-2587.2018.10.012
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Objective To observe the effects of minimally invasive tangential excision in treating deep partial-thickness burn wounds on trunk and limbs in pediatric patients in the early stage post burn. Methods Clinical data of 40 children with deep partial-thickness burn wounds on trunk and limbs, admitted t...
Effects of human erythropoietin on transforming growth factor β1/Smad3 signal transduction pathway in acute wounds of rats
Lyu Dalun, Xu Shujuan, Chen Lei, Ding Wei, Wang Heli, Zhang Wei, Wang Shuai, Xu Xiang
2018, 34(10): 719-726. doi: 10.3760/cma.j.issn.1009-2587.2018.10.013
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Objective To explore the effects of human erythropoietin (hEPO) on healing related transforming growth factor β1 (TGF-β1)/Smad3 signal transduction pathway in acute wounds of rats. Methods Seventy-two healthy Sprague Dawley rats were divided into normal saline control group, low dose group, middle d...
Case Report
One patient with chronic refractory wound caused by bamboo sticks in lower leg
Li Debao, Zhang Zhijia, Tian Hengjin
2018, 34(10): 727-728. doi: 10.3760/cma.j.issn.1009-2587.2018.10.014
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One patient with chronic refractory wound in right lower leg was admitted to our department in June 2017, which experienced repeated ulceration for 4 years. On 4 days post admission, two bamboo sticks were taken out from the deep muscle of the right lower leg. The wound was repaired by perforator fl...
Surgical correction of contractural arachnodactyly deformity of a child with Marfan syndrome
Xia Zhou, Qiu Wei, Xu Youxin, Zhao Ya′nan
2018, 34(10): 728-730. doi: 10.3760/cma.j.issn.1009-2587.2018.10.015
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A Marfan syndrome child with contractural arachnodactyly deformity of both hands was admitted to our unit in June 2015. The left and right middle fingers and ring fingers of the child received the continuous " Z" skin flap and " V-Y" plasty to reduce the palmar tension on the skin and release the co...
Nursing Column
Investigation and analysis of the difference between the nursing needs of adult burn patients and nurses′ cognition
Jiang Xiaosheng, Xu Le, Li Lin, Zhang Lingqian
2018, 34(10): 731-735. doi: 10.3760/cma.j.issn.1009-2587.2018.10.016
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Objective To explore the difference between the nursing needs of burn patients and nurses′ cognition in order to adjust the nursing service behavior and improve the nursing quality. Methods The convenience sampling method was adopted to select 400 burn inpatients admitted to the Department of Burns ...
Advice and Suggestions
Problems and suggestions for the application of diagnosis-related groups system in burn surgery
Zhu Hao, Zhao Hongliang, Cui Kangle
2018, 34(10): 736-736. doi: 10.3760/cma.j.issn.1009-2587.2018.10.017
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The diagnostic codes of diagnosis-related groups system used in our country are different from the clinical diagnostic criteria of burns. The author suggests that the diagnostic codes should be improved according to clinical criteria in terms of the total area and depth of burns and inhalation injur...
Review
Advances in the research of application of pulse contour cardiac output monitor technology in patients with large area of burns
Li Yi, Zhou Junli
2018, 34(10): 737-740. doi: 10.3760/cma.j.issn.1009-2587.2018.10.018
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Pulse contour cardiac output (PiCCO) monitor as an invasive monitoring technology has been widely applied to various kinds of critical patients. It can reliably reflect actual hemodynamics of critical patients and monitor parameters such as cardiac output. Fluid resuscitation is of great importance ...

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