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2024 Vol. 40, No. 10

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Guideline and Consensus
National expert consensus on the prevention and wound repair of titanium mesh exposure after cranioplasty (2024 edition)
2024, 40(10): 901-910. doi: 10.3760/cma.j.cn501225-20240203-00047
Abstract [FullText HTML] PDF
Abstract:
Titanium mesh exposure after cranioplasty is the most serious complication of this procedure. Although some clinical experience has been gradually accumulated over the years in the diagnosis and treatment of titanium mesh exposure, the treatment is often not standardized and it is difficult to achie...
Expert Forum
No administering prophylactic systemic antibiotics routinely during the shock phase after burn injury
Luo Gaoxing, Li Haisheng, Yuan Zhiqiang, Peng Yizhi
2024, 40(10): 911-914. doi: 10.3760/cma.j.cn501225-20240809-00300
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Abstract:
Infection is the most common complication following burn injury, while it is rare to induce immediately systemic infection after burn injury. Domestically, the burn patients especially the major burn patients are conventionally administered systemic antibiotics prophylactically during the shock phas...
Classification of sepsis: the cornerstone for precise treatment
Yao Yongming, Zhang Hui, Dong Ning
2024, 40(10): 915-919. doi: 10.3760/cma.j.cn501225-20240529-00203
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Abstract:
Sepsis appears to be a heterogeneous clinical syndrome. The classification of patients with sepsis is the prerequisite for improving the efficiency of clinical management and is also the basis for achieving precise treatment of sepsis. In recent years, many studies at home and abroad have classified...
Original Article·Research on Sepsis and its Mechanism
Effects of stimulator of interferon gene on ferroptosis mediated by acyl-CoA synthetase long-chain family member 4 in mouse dendritic cells under sepsis
Wu Mengyao, He Pengyi, Duan Yu, Zheng Liyu, Yao Renqi, Zhou Qiyuan, Chen Yu, Dong Ning, Wu Yao, Yao Yongming
2024, 40(10): 920-929. doi: 10.3760/cma.j.cn501225-20240518-00184
Abstract [FullText HTML] PDF
Abstract:
Objective To investigate the effects of stimulator of interferon gene (STING) on ferroptosis mediated by acyl-CoA synthetase long-chain family member 4 (ACSL4) in mouse dendritic cells (DCs) under sepsis, providing a basis for improving the dysregulation of immune response in sepsis caused by factor...
Role of apurinic/apyrimidinic endodeoxyribonuclease 1 in ferroptosis of mouse dendritic cells under simulated sepsis
Zhou Qiyuan, Li Jingyan, Yao Yongming, Tian Yingping
2024, 40(10): 930-939. doi: 10.3760/cma.j.cn501225-20240430-00159
Abstract [FullText HTML] PDF
Abstract:
Objective To investigate the role of apurinic/apyrimidinic endodeoxyribonuclease 1 (APE1) in ferroptosis of mouse dendritic cells (DCs) under simulated sepsis, providing evidence for improving immunosuppression in sepsis caused by wound infection. Methods This study was an experimental research. The...
Analysis of the characteristics of infectious pathogens in burn patients with sepsis based on metagenomic next-generation sequencing technology
Shi Jijing, Zhao Liang, Li Xiaoliang, Zhang Qun, Xia Chengde, Ma Chao
2024, 40(10): 940-947. doi: 10.3760/cma.j.cn501225-20240418-00137
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Abstract:
Objective To analyze the characteristics of infectious pathogens in burn patients with sepsis based on metagenomic next-generation sequencing (mNGS) technology. Methods This study was a retrospective observational study. From July 2021 to December 2023, 109 burn patients with sepsis who met the incl...
Original Article
Application of highly selective arterial indocyanine green angiography in the design of anterolateral thigh free flap
Wang Shi, Dong Shuai, Cao Yang, Wang Guiyang, Yang Chengpeng, Sun Fengwen, Huang Yongtao, Guo Liping, Yang Liang, Zhou Rong, Ju Jihui
2024, 40(10): 948-954. doi: 10.3760/cma.j.cn501225-20240513-00174
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Abstract:
Objective To introduce the application of highly selective arterial indocyanine green angiography (hereinafter referred to as highly selective arterial angiography) in the design of anterolateral thigh free flap. Methods This study was a retrospective observational study. From November 2023 to April...
Analysis of clinical characteristics and treatment of patients with perianal necrotizing fasciitis
Zhu Shaoban, Li Dehui, Liu Da'en, Wei Jun, Zhong Chaoyi, Wu Yajun, Nong Qingwen, Qiu Shumei, Li Shuntang
2024, 40(10): 955-962. doi: 10.3760/cma.j.cn501225-20231028-00143
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Abstract:
Objective To investigate the clinical characteristics and treatment of patients with perianal necrotizing fasciitis. Methods This study was a retrospective cohort study. Twenty patients with perianal necrotizing fasciitis who met the inclusion criteria were admitted to the Department of Burn and Pla...
Effects of the first dorsal metatarsal artery terminal branch flaps in repairing skin and soft tissue defects of fingers
Wu Haibo, Jin Guangzhe, Li Jin, Zhang Yan, Wang Kai, Wang Qiang, Tang Xiaoqiang, Ju Jihui, Hou Ruixing
2024, 40(10): 963-970. doi: 10.3760/cma.j.cn501225-20231226-00271
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Abstract:
Objective To explore the effects of the first dorsal metatarsal artery terminal branch flaps in repairing skin and soft tissue defects of fingers. Methods The study was a retrospective observational study. From October 2021 to December 2022, 44 patients with skin and soft tissue defects in 55 finger...
Effects of the second dorsal metacarpal artery perforator flap relaying the dorsal island flap of index finger in repairing thumb wounds
Chen Yan, Xie Bin, Liu Yuanjun, Wu Jian
2024, 40(10): 971-977. doi: 10.3760/cma.j.cn501225-20231202-00224
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Abstract:
Objective To explore the effects of the second dorsal metacarpal artery perforator flap relaying the dorsal island flap of index finger in repairing thumb wounds. Methods The study was a retrospective observational study. From May 2021 to January 2023, 14 patients with thumb wounds who met the inclu...
Clinical effects of antegrade anterolateral thigh pedicled flaps in repairing wounds in the perineum or inguinal regions
Wang Shaohua, Wang Shunbin, Xu Zhaorong, Chen Zhaohong
2024, 40(10): 978-984. doi: 10.3760/cma.j.cn501225-20240218-00064
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Abstract:
Objective To explore the clinical effects of antegrade anterolateral thigh pedicled flaps in repairing wounds in the perineum or inguinal regions. Methods The study was a retrospective observational study. From January 2022 to May 2024, 7 patients with wounds in the perineum or inguinal regions who ...
Review
Research advances on the application of free flaps in limb salvage treatment of patients with diabetic foot ulcers
Liu Xin, Huang Guangtao, Wu Jun
2024, 40(10): 985-990. doi: 10.3760/cma.j.cn501225-20240130-00041
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Diabetic foot ulcers (DFUs) is one of the severe complications of diabetes, which is difficult to treat and associated with a high risk of amputation. Current guidelines recommend that the plane of amputation be comprehensively assessed based on the degree of tissue necrosis and plane of vascular oc...
Research progresses on the role of programmed cell death in the inflammatory response of chronic refractory wounds
Chen Xuelian, Liu Yan
2024, 40(10): 991-995. doi: 10.3760/cma.j.cn501225-20240123-00029
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Continuous inflammatory response and repeated tissue damage lead to a chronic inflammatory state that is an important pathological feature of chronic refractory wounds, and plays an important pathogenic role in the occurrence and development of chronic refractory wounds. Multiple types of programmed...
Interpretation of Guidelines
Interpretation of the 2023 American Burn Association "Clinical practice guidelines for burn shock resuscitation"
Sun Linli, Liu Lihong, Xiang Luyan, Ding Li, Liu Wenjun
2024, 40(10): 996-1000. doi: 10.3760/cma.j.cn501225-20240218-00061
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Abstract:
The American Burn Association updated and released the "Clinical practice guidelines on burn shock resuscitation" in December 2023. This guideline is an extension and refinement of the "Practice guidelines on burn shock resuscitation" released in 2008. It mainly provides evidence-based recommendatio...

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