2021 Vol. 37, No. 10

Expert Forum
Past, present, and future of critical burn treatment
Guo Guanghua, Jiang Zhengying
2021, 37(10): 905-910. doi: 10.3760/cma.j.cn501120-20210209-00055
Abstract:
The fatality rate of patients with critical burns is extremely high, and the clinical treatment is challenging. By reviewing the history on treatment of critically ill burns patients, this article elaborates and analyzes the advanced concepts and technologies at home and abroad about the critical bu...
Original Articles · Severe Burns and Complications
Clinical application of extracorporeal membrane oxygenation in the treatment of burn patients with acute respiratory distress syndrome: a retrospective analysis and systematic review
Li Haisheng, Yuan Zhiqiang, Song Huapei, Luo Qizhi, Xiang Fei, Ma Siyuan, Zhou Junyi, Tan Jianglin, Zhou Ling, Peng Yizhi, Luo Gaoxing
2021, 37(10): 911-920. doi: 10.3760/cma.j.cn501120-20210803-00266
Abstract:
Objective To analyze the clinical effect of extracorporeal membrane oxygenation (ECMO) in the treatment of burn patients with acute respiratory distress syndrome (ARDS). Methods The retrospective observational study and the systematic review were applied. From March 2014 to July 2020, five burn pati...
The role of first-aid network construction in the early treatment of patients with critically severe hydrofluoric acid burns
Zhang Yuanhai, Tian Pengfei, Zhang Wei, Ye Chunjiang, Mao Shulei, Han Chunmao, Zhang Jianfen, Wang Xingang
2021, 37(10): 921-928. doi: 10.3760/cma.j.cn501120-20210707-00237
Abstract:
Objective To explore the role of first-aid network construction in the early treatment of patients with critically severe hydrofluoric acid burns. Methods Twenty-seven fluorine chemical enterprises distributed in Zhejiang province, Jiangxi Province, Fujian Province, and Inner Mongolia Autonomous Reg...
Fluid resuscitation strategy and efficacy evaluation in shock stage in severely burned children with different burn areas in different age groups
Yang Meng, Dai Xiaohua, Guo Guanghua, Min Dinghong, Liao Xincheng, Zhang Hongyan, Fu Zhonghua, Liu Mingzhuo
2021, 37(10): 929-936. doi: 10.3760/cma.j.cn501120-20210408-00119
Abstract:
Objective To explore the fluid resuscitation strategy in shock stage in severely burned children with different burn areas in different age groups, and to evaluate the curative effect. Methods A retrospective cohort study was conducted. From January 2015 to June 2020, 235 children with severe and ab...
Original Articles
Effects and mechanism of age on the stiffness and the fibrotic phenotype of fibroblasts of human hypertrophic scar
Zhu Dongzhen, Yao Bin, Cui Xiaoli, Huang Sha, Fu Xiaobing
2021, 37(10): 937-945. doi: 10.3760/cma.j.cn501120-20200810-00374
Abstract:
Objective To explore the effects and potential molecular mechanism of age on the stiffness and the fibrotic phenotype of fibroblasts (Fbs) of human hypertrophic scar. Methods The experimental research method was used. From January to June 2020, the surgically removed hypertrophic scar tissue of 10 s...
Microbiological characteristics of patients with severe burns caused by blast and application of meta- genomics next-generation sequencing in the detection of pathogenic microorganisms
Luo Rubin, Huang Man, Hu Hang, Zhang Rong, Han Chunmao
2021, 37(10): 946-952. doi: 10.3760/cma.j.cn501120-20201017-00440
Abstract:
Objective To analyze the microbiological characteristics of patients with severe burns caused by blast in different periods and explore the application value of metagenomics next-generation sequencing (mNGS) in detecting pathogenic microorganisms. Methods The retrospective observational study was ap...
Application effects of free transplantation of autologous omentum in treating maxillofacial infection complicated with complex sinus tract
Ren Pan, Cao Jin, Ma Fuxin, Zhou Shuai, Yu Zhen, Zhao Congying
2021, 37(10): 953-958. doi: 10.3760/cma.j.cn501120-20200721-00354
Abstract:
Objective To investigate the application effects of free transplantation of autologous omentum in treating maxillofacial infection complicated with complex sinus tract. Methods The retrospective observational study method was used. Four patients with maxillofacial infection complicated with complex ...
Experimental study on the effect of three-dimensional porous structures on the vascularization rate of artificial dermis
Tan Rongwei, Liu Xi, Chen Yingying, Xu Mengqiang, Guo Yuanjun, Wang Danyan, Liang Jiamei, Liu Jiao, Yuan Shasha, Fan Wei, Wang Xiangkun, She Zhending
2021, 37(10): 959-969. doi: 10.3760/cma.j.cn501120-20200715-00347
Abstract:
Objective To explore the effects of orienting three-dimensional porous network (type A) and honeycomb briquette-shaped vertically penetrating three-dimensional porous network (type B) on the vascularization rate of artificial dermis. Methods The experimental research method was used. The artificial ...
Original Article·Nursing Column
Scoping review on prevention of central venous catheter-related bloodstream infection in burn patients
Chen Lijuan, Liu Lihong, Sun Linli, Chen Nana, Meng Meifen
2021, 37(10): 970-977. doi: 10.3760/cma.j.cn501120-20201027-00447
Abstract:
Objective To investigate the research trend and scope of prevention of central venous catheter-related bloodstream infection (CRBSI) in burn patients. Methods The scoping review method was adopted. Pre-retrieval was carried out with search terms of "中心静脉导管, 烧伤, 感染" and "central venous catheter, infe...
Sinicization, cross-cultural adjustment and reliability and validity test of the Burnt Hand Outcome Tool
Zhang Juan, Chai Xuejun, Guan Lifeng, Ma Yuelan, Zhang Xiaowen, Yao Miao
2021, 37(10): 978-986. doi: 10.3760/cma.j.cn501120-20210201-00042
Abstract:
Objective To introduce the Burnt Hand Outcome Tool (BHOT) into China to conduct sinicization, cross-cultural debugging, and test the reliability and validity, thus provide a reference for the evaluation of treatment effect and making of medical decisions of hand burn patients. Methods The cross-sect...
Technique and Method
Explorative study of the immobilizing effect of full-thickness skin subcutaneous grafting on allogeneic full-thickness skin graft in rats
Rong Xiangke, Wang Kai, Wang Tong, Yang Jizhong, Ding Jianke, Dang Juanli, Yu Zhou, Yi Chenggang
2021, 37(10): 987-989. doi: 10.3760/cma.j.cn501120-20200801-00365
Abstract:
Objective To investigate the immobilizing effect of full-thickness skin subcutaneous grafting on allogeneic full-thickness skin graft in rats. Methods The experimental research method was used. The inbred male Brown-Norway rats (n=10) and Lewis rats (n=10) were used as donors and recipients respecti...
Reviews
Research advances on the application of platelet concentrate products in wound repair
Li Yulin, Chen Nuo, Xie Weiguo
2021, 37(10): 990-995. doi: 10.3760/cma.j.cn501120-20200730-00363
Abstract:
Multiple growth factors are required to regulate the wound repair process. Currently, there is still a lack of potent, durable, and inexpensive growth factor product in clinical practice. Meanwhile, platelet concentrate products provide an economical, convenient, and effective choice for the treatme...
Research advances on autologous hair transplantation in the treatment of secondary cicatricail alopecia
He Lirun, Miao Yulan, Zheng Shuqin
2021, 37(10): 996-999. doi: 10.3760/cma.j.cn501120-20200827-00392
Abstract:
Secondary cicatricial alopecia (hereinafter referred to as cicatricial alopecia) after burn and trauma affects the aesthetic appearance and even the physical and mental health of patients, and reduces their quality of life and happiness. Autologous hair transplantation provides an idea for the treat...
Research progress on the mechanism of wound skin dys- pigmentation after burns
Guo Xiaoyu, Xie Weiguo
2021, 37(10): 1000-1004. doi: 10.3760/cma.j.cn501120-20200714-00344
Abstract:
Burn wound healing often shows a certain degree of pigmentation disorder. It may not only cause cosmetic and psychological issues affecting patient's normal social activities, but also increase risk of skin cancer or photoaging. Although normal skin pigmentation is fairly well studied, the mechanism...