2023 Vol. 39, No. 3

Guidelines and Consensuses
National expert consensus on clinical diagnosis and treatment of hot crush injury wound (2023 version)
2023, 39(3): 201-208. doi: 10.3760/cma.j.cn501225-20220608-00227
Abstract:
Hot crush injury is a kind of damage with high disability rate. Although some experience has been accumulated in diagnosis and treatment of hot crush injury over the years, its treatment is often not standardized and difficult to achieve a satisfactory therapeutic effect due to insufficient understa...
Expert Forums
Pay more attention to the management of burn wounds of special causes and sites
Hu Dahai, Wang Yunchuan
2023, 39(3): 209-214. doi: 10.3760/cma.j.cn501225-20230206-00034
Abstract:
The treatment of burn wounds of special causes and sites is a very challenging clinical work. In this paper, we briefly discussed the incidence rates of chemical burns, electric burns, facial burns, hand burns, and perineal burns, as well as the complexity and severity of pathological injury of the ...
Original Articles·Repair of Wounds in Special Sites
Clinical effects of autologous split-thickness skin grafting for prefabricating urethra combined with scrotal flap in repairing middle urethral defect with penile defect
Tong Lin, Zhang Wanfu, Han Fei, Xu Zhigang, Hu Dahai, Guan Hao
2023, 39(3): 215-220. doi: 10.3760/cma.j.cn501225-20221021-00465
Abstract:
Objective To investigate the clinical effects of autologous split-thickness skin grafting for prefabricating urethra combined with scrotal flap in repairing middle urethral defect with penile defect. Methods The retrospective observational study was conducted. Eight male patients (aged 14 to 58 ye...
Repair methods of complex facial defect wounds involving paranasal sinuses and their clinical effectiveness
Liang Pengfei, Xu Xisheng, Zhang Pihong, Bi Changlong, Zhang Hua, Huang Mitao, He Zhiyou, Zeng Jizhang, Huang Yun, Li Jia, Cui Xu, Zhou Situo, Zhang Minghua, Huang Xiaoyuan
2023, 39(3): 221-227. doi: 10.3760/cma.j.cn501225-20221130-00520
Abstract:
Objective To explore the repair methods of complex facial defect wounds involving paranasal sinuses and their clinical effectiveness. Methods A retrospective observational study was conducted. From January 2020 to May 2022, 5 patients admitted to the Department of Burns and Plastic Surgery of Xian...
Effects of free gracilis muscle flap combined with sural nerve transfer for reconstruction of digital flexion and sensory function of hand in patient with wrist electric burn
Xia Chengde, Di Haiping, Xing Peipeng, Huang Wanxin, Xue Jidong, Cao Dayong, Guo Haina, Liu Lei, Li Pengcheng
2023, 39(3): 228-233. doi: 10.3760/cma.j.cn501225-20221203-00525
Abstract:
Objective To explore the effects of free gracilis muscle flap combined with sural nerve transfer for reconstruction of digital flexion and sensory function of hand in patient with severe wrist electric burn. Methods A retrospective observational study was conducted. From January 2017 to December 2...
Curative effects of the superficial peroneal artery perforator flap carrying multiple perforators in repairing hand and foot wounds
Zhang Tao, Cheng Junnan, Yang Lin, Huang Yongtao, Gao Qinfeng, Sun Fengwen, Liu Zhijin, Liu Shengzhe, Yang Chengpeng, Cao Yang, Ju Jihui
2023, 39(3): 234-240. doi: 10.3760/cma.j.cn501225-20220723-00305
Abstract:
Objective To investigate the curative effects of the superficial peroneal artery perforator flap carrying two and more homologous perforators in repairing hand and foot wounds. Methods A retrospective observational study was conducted. From January to September 2021, 23 patients with hand and foot...
Clinical effects of free pre-expanded internal thoracic artery perforator pedicled deltopectoral flap transfer in facial scar reconstruction
He Lin, Zhu Chan, Jia Jing, Zhou Lin, Zhang Zhuo, Shu Maoguo
2023, 39(3): 241-247. doi: 10.3760/cma.j.cn501225-20220123-00012
Abstract:
Objective To explore the clinical effects of free pre-expanded deltopectoral flap transfer in facial scar reconstruction by selecting appropriate internal thoracic artery perforator as the pedicle through preoperative color Doppler ultrasonic vascular assessment. Methods A retrospective observatio...
Original Articles
Application effects of nitrous oxide and oxygen mixed inhalation technology on analgesia and sedation during debridement and dressing change in children with moderate or severe burns
Fan Taotao, Han Mei, Liang Yan, Cao Guohui, Song Guodong
2023, 39(3): 248-255. doi: 10.3760/cma.j.cn501225-20220308-00051
Abstract:
Objective To investigate the application effects of nitrous oxide and oxygen mixed inhalation technology on analgesia and sedation during debridement and dressing change in children with moderate or severe burns. Methods A retrospective non-randomized contemporary controlled study was conducted. F...
Effects and mechanism of astragalus polysaccharide on wound healing of deep partial-thickness burns in rats
Zheng Fan, Cai Yu'e, Li Li, Han Dawei
2023, 39(3): 256-263. doi: 10.3760/cma.j.cn501225-20220324-00087
Abstract:
Objective To investigate the effects and mechanism of astragalus polysaccharide (APS) on wound healing of deep partial-thickness burns in rats. Methods The experimental study method was used. Fifty 7-week-old male Sprague-Dawley rats were divided into normal group, simple burn group, APS group, in...
Reviews
Research advances on venous thromboembolism in burn patients
Shi Yiqin, Liu Lei, Li Ning, Luo Gaoxing, Li Haisheng
2023, 39(3): 264-268. doi: 10.3760/cma.j.cn501225-20220323-00083
Abstract:
Venous thromboembolism (VTE) has become a serious medical problem faced by medical personnel all over the world, due to its high incidence, high fatality, and easily missed and misdiagnosed. Patients with severe burns are at high risk for VTE due to the presence of blood hypercoagulability, central ...
Research advances on invasive fungal infections after burns
Cai Yue, Cheng Xing, Zhan Jianhua, Luo Jinhua, Liao Wenqiang
2023, 39(3): 269-274. doi: 10.3760/cma.j.cn501225-20220523-00199
Abstract:
Invasive fungal infection (IFI) is one of the serious complications in burn patients. The gradual development and application of broad-spectrum antibiotics in recent years has led to a serious dysbiosis of the flora, while the widespread prophylactic use of antifungal drugs has led to an increasing ...
Research advances on the application of rehabilitation exercise training in pediatric burn rehabilitation
Huo Ting, Xu Xiangyang, Xie Weiguo, Liu Shuhua
2023, 39(3): 275-279. doi: 10.3760/cma.j.cn501225-20220116-00008
Abstract:
The sequelae of pediatric burn seriously affect the physical function and quality of life of children with burns. Rehabilitation exercise training mainly based on aerobic and resistance exercise can effectively alleviate the negative effects. This article reviews the effects of rehabilitation exerci...
Research advances on the application of music therapy in pain management of children with burns
Duan Deqing, Zhang Zhongwei, Mao Yuangui, Zhang Hongyan
2023, 39(3): 280-284. doi: 10.3760/cma.j.cn501225-20220328-00098
Abstract:
Pain after burns is a very common problem in children. Severe pain will not only hinder treatment, but also damage children's mental health if not handled in time. Therefore, pain management is very important in treating children with burns. As a safe, effective, and convenient non-drug therapy, mus...
Research advances on the prevention and treatment of burn infection in the elderly
Yang Changfa, Min Dinghong, Guo Guanghua
2023, 39(3): 285-289. doi: 10.3760/cma.j.cn501225-20220321-00078
Abstract:
Infection is a common complication after burns and the major cause of death in patients suffering severe burn injury. The infection of the elderly after burns is more serious due to their decreased immune function that is complicated with factors such as multiple chronic diseases and dysfunction of ...
Research advances of stem cell-based tissue engineering repair materials in promoting the healing of chronic refractory wounds on the body surface
Peng Yu, Meng Hao, Li Pinxue, Jiang Yufeng, Fu Xiaobing
2023, 39(3): 290-295. doi: 10.3760/cma.j.cn501225-20220407-00126
Abstract:
Repairing chronic refractory wounds on the body surface is a complex medical problem involving all stages of wound healing. In recent years, stem cells (SCs) and tissue engineering (TE) have brought hope for repairing chronic refractory wounds. SCs have excellent regenerative and paracrine effects; ...
Research progress on the role of adipose-derived stem cell exosomes in skin scar formation
Wang Liuxin, Li Yunpeng, Wu Simo, Zhang Junrui, Kong Liang, Lu Bin, Liu Fuwei, Li Zhiye
2023, 39(3): 295-300. doi: 10.3760/cma.j.cn501225-20220308-00057
Abstract:
The adipose-derived stem cell exosomes are subcellular structures of adipose stem cells. They are nano-sized membrane vesicles that can transport various cell components and act on target cells by paracrine, and they play an important role in the exchanges of substance and information between cells....