2023 Vol. 39, No. 8

Guidelines and Consensuses
Expert consensus on the clinical treatment of burn patients complicated with Coronavirus infection (2023 version)
2023, 39(8): 701-712. doi: 10.3760/cma.j.cn501225-20230519-00176
Abstract:
With China downgrading the management of Coronavirus infection (COVID-19) from Category A to Category B, a large number of COVID-19 patients have occurred in multiple waves across the country. Meanwhile, the long-term impact of Coronavirus on the body has gradually been noticed. However, the clinica...
Expert Forums
Exploration of functional reconstruction and rehabilitation strategies for patients with destructive electric burns
Shen Yuming, Dai Qiang
2023, 39(8): 713-717. doi: 10.3760/cma.j.cn501225-20230506-00158
Abstract:
Electric burn is a kind of three-dimensional destructive damage. It is necessary to attach great importance to the functional reconstruction and rehabilitation of patients with destructive electric burns. Wound repair and limb salvage are not the end of the treatment of destructive electric burns, b...
Mechanism and prevention and treatment strategy of progressive injury in high-voltage electric burns
Zhang Qingfu, Hao Jiawen
2023, 39(8): 718-723. doi: 10.3760/cma.j.cn501225-20230331-00107
Abstract:
High-voltage electric burn is one of burns that can cause severe damages to tissue and organs. Clinically, progressive injury in high-voltage electric burns is a key pathological change that affects the level of amputation and the success rate of treatment. At present, the exact definition and mecha...
Original Articles·Electric Burns
Curative effects of foot microflap free transplantation in the repair of full-thickness electric burn wounds deep to tendon or even bone in fingers
Xue Jidong, Di Haiping, Liang Yan, Xing Peipeng, Guo Haina, Zhao Xiaokai, Wang Limin, Xia Chengde
2023, 39(8): 724-730. doi: 10.3760/cma.j.cn501225-20230323-00094
Abstract:
Objective To explore the curative effects of foot microflap free transplantation in the repair of full-thickness electric burn wounds deep to tendon or even bone in fingers. Methods A retrospective observational study was conducted. From July 2017 to February 2022, 20 patients with full-thickness ...
Treatment methods of upper limbs with destructive electric burns and its clinical efficacy
Zhang Wei, Chen Lan, Yang Fei, Zhang Weidong, Liu Feng, Xie Weiguo
2023, 39(8): 731-737. doi: 10.3760/cma.j.cn501225-20230530-00188
Abstract:
Objective To investigate the treatment methods of upper limbs with destructive electric burns and its clinical efficacy. Methods A retrospective observational study was conducted. From July 2014 to December 2020, 20 male patients with destructive electric burns in upper limbs who met the inclusion...
Establishment and validation of a risk prediction model for disseminated intravascular coagulation patients with electrical burns
Li Quan, Ba Te, Cao Shengjun, Chen Qiang, Zhou Biao, Yan Zengqiang, Hou Zhihui, Wang Lingfeng
2023, 39(8): 738-745. doi: 10.3760/cma.j.cn501225-20230419-00132
Abstract:
Objective To establish and validate a risk prediction model of disseminated intravascular coagulation (DIC) by the screening independent risk factors for the occurrence of DIC in patients with electrical burns. Methods The retrospective case series study was conducted. The clinical data of 218 ele...
Original Articles
Prospective study on the influence of dobutamine on blood perfusion in free flap repair of diabetic foot wounds
Dou Xuejiao, Wang Haiying, Chen Wei, Zhou Jian, Wei Zairong
2023, 39(8): 746-752. doi: 10.3760/cma.j.cn501225-20221220-00543
Abstract:
Objective To investigate the influence of clinical administration of dobutamine on blood perfusion in free flap repair of diabetic foot wounds. Methods A prospective self‐controlled study was conducted. From January to November 2022, 20 patients with diabetic foot who met the inclusion criteria we...
Clinical effects of free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity
Chen Liming, Wang Gang, Liu Hong, Zhao Ruomei, Liu Xiaohui, Cao Guangtong, Yao Zongjiang, Li Zhiyong, Liu Yi
2023, 39(8): 753-757. doi: 10.3760/cma.j.cn501225-20221115-00488
Abstract:
Objective To investigate the feasibility and clinical effects of using free perforator propeller myocutaneous flap from buttock in repairing complex wounds in the buttock with deep dead cavity. Methods A retrospective observational study was conducted. From June 2020 to June 2022, 9 patients with ...
Clinical application of combination of different types of free perforator flaps in the repair of complex wounds in extremities
Li Hai, Xiao Shun'e, Deng Chengliang, Wu Bihua, Wu Xiangkui, Zhang Tianhua, Liu Zhiyuan, Wei Zairong
2023, 39(8): 758-764. doi: 10.3760/cma.j.cn501225-20220720-00300
Abstract:
Objective To investigate the clinical application effects of combination of different types of free perforator flaps in the repair of complex wounds in extremities. Methods A retrospective observational study was conducted. From January 2018 to June 2022, 11 patients with complex wounds in extremi...
Effects of tibial second toe free flap bridged with blood flow and nerve in the treatment of severe flexion contracture of the proximal interphalangeal joint
Wang Kai, Jin Guangzhe, Teng Zhicheng, Ge Chengwei, Liu Zhijin, Ju Jihui, Dong Shuai, Wang Qiang, Li Yadong
2023, 39(8): 765-770. doi: 10.3760/cma.j.cn501225-20220707-00286
Abstract:
Objective To investigate the effects of tibial second toe free flap bridged with blood flow and nerve in the treatment of severe flexion contracture of the proximal interphalangeal joint. Methods A retrospective observational study was conducted. From March 2013 to October 2019, 9 patients with se...
Effects of advanced platelet-rich fibrin on deep partial-thickness burn wounds in nude mice
Tang Lijun, Li Xiaomei, Zhang Xiaowei, Luo Yi, Xu Gang
2023, 39(8): 771-778. doi: 10.3760/cma.j.cn501225-20220804-00334
Abstract:
Objective To explore the effects of advanced platelet-rich fibrin (A-PRF) on deep partial-thickness burn wounds in nude mice and its mechanism. Methods The experimental study method was adopted. Forty healthy volunteers in Subei People's Hospital were recruited, including 32 females and 8 males, a...
Original Article·Nursing Column
Influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit
Chen Hanxi, Liu Wenji, Liu Bing, Huang Zhifeng, Zhang Qiuping, Xiao Xiling, Lai Wen, Zheng Shaoyi
2023, 39(8): 779-786. doi: 10.3760/cma.j.cn501225-20220905-00379
Abstract:
Objective To analyze the influence of work engagement and self-efficacy of nurses on clinical practice ability in burn intensive care unit (BICU), and to explore its potential pathways of action. Methods A cross-sectional survey was conducted. From May to October 2020, a total of 30 hospitals with...
Case Report
A case with giant ulcer caused by skin diffuse large B-cell lymphoma in the axilla
Liu Feng, Zhang Wei, Xie Weiguo, Chen Lan, Li Ze
2023, 39(8): 787-789. doi: 10.3760/cma.j.cn501225-20220331-00116
Abstract:
In May 16 th, 2019, a male patient (aged 51 years) with a rare giant ulcer caused by skin diffuse large B-cell lymphoma in the axilla was admitted to Tongren Hospital of Wuhan University & Wuhan Third Hospital, and the ulcer wound was confirmed by biopsy and immunohistochemical analysis after extens...
Reviews
Research advances on post-burn cognitive disorders and its mechanism
Luo Yue, Liang Guangping
2023, 39(8): 790-794. doi: 10.3760/cma.j.cn501225-20221117-00492
Abstract:
Cognitive disorders after burns is an important problem that cannot be ignored in the diagnosis and treatment of burn patients. Its mechanism may be related to the activation of inflammatory response, destruction of the blood-brain barrier, hypothalamic-pituitary-adrenal axis imbalance, nerve cell c...
Research advances on the role of cell senescence in chronic wound healing
Fang Shaoyihan, Liu Dewu
2023, 39(8): 795-800. doi: 10.3760/cma.j.cn501225-20220928-00424
Abstract:
Chronic wounds bring huge pressure and difficulties to patients, their families, and society due to their long-term refractory characteristics and serious poor prognosis. Recently, more and more evidences have proven that cell senescence exists in chronic wounds and affects wound healing. This artic...