Email Alerts
RSS
Volume 37 Issue 10
Oct.  2021
Turn off MathJax
Article Contents
Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2021  >  37(10): 905-910
Guo GH,Jiang ZY.Past, present, and future of critical burn treatment[J].Chin J Burns,2021,37(10):905-910.DOI: 10.3760/cma.j.cn501120-20210209-00055.
Citation: Guo GH,Jiang ZY.Past, present, and future of critical burn treatment[J].Chin J Burns,2021,37(10):905-910.DOI: 10.3760/cma.j.cn501120-20210209-00055.
shu

Past, present, and future of critical burn treatment

doi: 10.3760/cma.j.cn501120-20210209-00055

  • Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China

Funds:

Regional Science Foundation Program of National Natural Science Foundation of China 81760342, 81960352

Youth Science Foundation of Jiangxi Province of China 20192BAB215029

Key Research and Development Plan of Science and Technology Department of Jiangxi Province of China 20171ACG70004

Science and Technology Research Project of Education Department of Jiangxi Province of China GTT160019

More Information
  • Corresponding author: Guo Guanghua, Email: guogh2000@hotmail.com
  • Received Date: 2021-02-09
    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 burn treatment in the areas including shock and fluid resuscitation, hypermetabolism and nutrition, inhalation injury and respiratory support, acute kidney injury and continuous renal replacement therapy, wound assessment and management, infection and control, coagulopathy and its prevention and treatment, etc. Furthermore, some thoughts on the future development trend of critical burn treatment are put forward as reference for people in the same field.

     

    • FullText(HTML)
  • loading
    • References(45)
  • [1]
    黄跃生, 肖光夏, 汪仕良, 等. 我国烧伤医学60年回顾与展望[J]. 中华烧伤杂志, 2018, 34(7):437-441. DOI: 10.3760/cma.j.issn.1009-2587.2018.07.003.
    [2]
    HussainA, ChoukairiF. To cool or not to cool: evolution of the treatment of burns in the 18th century[J].Int J Surg,2013,11(7):503-506.DOI: 10.1016/j.ijsu.2013.04.012.
    [3]
    PruittBAJr, WolfSE.An historical perspective on advances in burn care over the past 100 years[J].Clin Plast Surg,2009,36(4):527-545.DOI: 10.1016/j.cps.2009.05.007.
    [4]
    郭光华.进一步重视重症烧伤的救治[J].中华烧伤杂志,2016,32(3):129-132.DOI: 10.3760/cma.j.issn.1009-2587.2016.03.001.
    [5]
    TejiramS,RomanowskiKS,PalmieriTL.Initial management of severe burn injury[J].Curr Opin Crit Care,2019,25(6):647-652.DOI: 10.1097/MCC.0000000000000662.
    [6]
    ChiaoHY, ChouCY, TzengYS, et al. Goal-directed fluid resuscitation protocol based on arterial waveform analysis of major burn patients in a mass burn casualty[J]. Ann Plast Surg, 2018,80(2S Suppl 1):S21-25. DOI: 10.1097/SAP.0000000000001288.
    [7]
    DavenportLM,DobsonGP,LetsonHL.The role of invasive monitoring in the resuscitation of major burns: a systematic review and meta-analysis[J].Int J Burns Trauma,2019,9(2):28-40.
    [8]
    KenworthyP,PhillipsM,GrisbrookTL,et al.An objective measure for the assessment and management of fluid shifts in acute major burns[J/OL].Burns Trauma,2018,6:3[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/30009191/.DOI: 10.1186/s41038-017-0105-9.
    [9]
    RosenthalJ,ClarkA,CampbellS,et al.Effects of obesity on burn resuscitation[J].Burns,2018,44(8):1947-1953.DOI: 10.1016/j.burns.2018.06.002.
    [10]
    ClarkA,ImranJ,MadniT,et al.Nutrition and metabolism in burn patients[J/OL].Burns Trauma,2017,5:11[2021-02-09].https://pubmed.ncbi.nlm.nih.gov/28428966/.DOI: 10.1186/s41038-017-0076-x.
    [11]
    HeW,WangY,WangP,et al.Intestinal barrier dysfunction in severe burn injury[J/OL].Burns Trauma,2019,7:24[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/31372365/.DOI: 10.1186/s41038-019-0162-3.
    [12]
    PengYZ,YuanZQ,XiaoGX.Effects of early enteral feeding on the prevention of enterogenic infection in severely burned patients[J].Burns,2001,27(2):145-149.DOI: 10.1016/s0305-4179(00)00078-4.
    [13]
    郭光华.危重烧伤患者的肠道复苏[J/CD].中华损伤与修复杂志:电子版,2015,10(1):5-8.DOI: 10.3877/cma.j.issn.1673-9450.2015.01.003.
    [14]
    郭光华, 江政英. 小儿吸入性损伤[J]. 中华烧伤杂志, 2020, 36(4):247-251. DOI: 10.3760/cma.j.cn501120-20191002-00393.
    [15]
    中国老年医学学会烧创伤分会, 郭光华, 朱峰, 等. 吸入性损伤临床诊疗全国专家共识(2018版)[J]. 中华烧伤杂志, 2018, 34(11):770-775. DOI: 10.3760/cma.j.issn.1009-2587.2018.11.010.
    [16]
    DeutschCJ,TanA,SmailesS,et al.The diagnosis and management of inhalation injury: an evidence based approach[J].Burns,2018,44(5):1040-1051.DOI: 10.1016/j.burns.2017.11.013.
    [17]
    付忠华,郭光华,吴星恒,等.高频振荡通气及肺泡表面活性物质对吸入性损伤兔肺组织的影响[J].中国危重病急救医学,2009,21(11):641-643,前插1.DOI: 10.3760/cma.j.issn.1003-0603.2009.11.001.
    [18]
    AllamNM,BadawyMM.Does high-frequency chest wall oscillation have an impact on improving pulmonary function in patients with smoke inhalation injury?[J].J Burn Care Res,2021,42(2):300-304.DOI: 10.1093/jbcr/iraa147.
    [19]
    郭光华, 王少根, 付忠华, 等. 高频振荡通气及与肺表面活性物质联用对吸入性损伤家兔肺炎性反应的影响[J]. 中华烧伤杂志, 2009, 25(5):363-367. DOI: 10.3760/cma.j.issn.1009-2587.2009.05.013.
    [20]
    付忠华, 江政英, 孙威, 等. 雾化吸入重组人角质细胞生长因子2对重度烟雾吸入性损伤兔肺组织的作用[J]. 中华烧伤杂志, 2018,34(7): 466-475. DOI: 10.3760/cma.j.issn.1009-2587.2018.07.009.
    [21]
    朱峰, 郭光华, 陈雯, 等. 骨髓间充质干细胞移植对吸入性损伤家兔炎症反应和肺损伤的影响[J]. 中华烧伤杂志, 2010, 26(5):360-365. DOI: 10.3760/cma.j.issn.1009-2587.2010.05.010.
    [22]
    HuP,YangQX,WangQ,et al.Mesenchymal stromal cells-exosomes: a promising cell-free therapeutic tool for wound healing and cutaneous regeneration[J/OL].Burns Trauma,2019,7:38[2021- 02-09]. https://pubmed.ncbi.nlm.nih.gov/31890717/.DOI:10. 1186/s41038-019-0178-8.
    [23]
    XuB,GanCX,ChenSS,et al.BMSC-derived exosomes alleviate smoke inhalation lung injury through blockade of the HMGB1/NF-κB pathway[J].Life Sci,2020,257:118042.DOI: 10.1016/j.lfs.2020.118042.
    [24]
    XuB,ChenSS,LiuMZ,et al.Stem cell derived exosomes-based therapy for acute lung injury and acute respiratory distress syndrome: a novel therapeutic strategy[J].Life Sci,2020,254:117766.DOI: 10.1016/j.lfs.2020.117766.
    [25]
    ClarkA,NeyraJA,MadniT,et al.Acute kidney injury after burn[J].Burns,2017,43(5):898-908.DOI: 10.1016/j.burns.2017.01.023.
    [26]
    TranNK,SenS,PalmieriTL,et al.Artificial intelligence and machine learning for predicting acute kidney injury in severely burned patients: a proof of concept[J].Burns,2019,45(6):1350-1358.DOI: 10.1016/j.burns.2019.03.021.
    [27]
    ChungKK,CoatesEC,SmithDJJr,et al.High-volume hemofiltration in adult burn patients with septic shock and acute kidney injury: a multicenter randomized controlled trial[J].Crit Care,2017,21(1):289.DOI: 10.1186/s13054-017-1878-8.
    [28]
    CarrièreME,de HaasLEM,PijpeA,et al.Validity of thermography for measuring burn wound healing potential[J].Wound Repair Regen,2020,28(3):347-354.DOI: 10.1111/wrr.12786.
    [29]
    AbazariM,GhaffariA,RashidzadehH,et al.Current status and future outlook of nano-based systems for burn wound management[J].J Biomed Mater Res B Appl Biomater,2020,108(5):1934-1952.DOI: 10.1002/jbm.b.34535.
    [30]
    中华医学会烧伤外科学分会,《中华烧伤杂志》编辑委员会.负压封闭引流技术在烧伤外科应用的全国专家共识(2017版)[J].中华烧伤杂志,2017,33(3):129-135.DOI: 10.3760/cma.j.issn.1009-2587.2017.03.001.
    [31]
    中华医学会烧伤外科学分会MEEK植皮技术中心协作组,海军军医大学第一附属医院烧伤外科,全军烧伤研究所.MEEK微型皮片移植技术临床操作规范[J].中华烧伤杂志,2019,35(8):561-564.DOI: 10.3760/cma.j.issn.1009-2587.2019.08.001.
    [32]
    VarkeyM,VisscherDO,van ZuijlenPPM,et al.Skin bioprinting: the future of burn wound reconstruction?[J/OL].Burns Trauma,2019,7:4[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/30805375/.DOI: 10.1186/s41038-019-0142-7.
    [33]
    FujiwaraO,PrasaiA,Perez-BelloD,et al.Adipose-derived stem cells improve grafted burn wound healing by promoting wound bed blood flow[J/OL].Burns Trauma,2020,8:tkaa009[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/32346539/.DOI: 10.1093/burnst/tkaa009.
    [34]
    LachiewiczAM,HauckCG,WeberDJ,et al.Bacterial infections after burn injuries: impact of multidrug resistance[J].Clin Infect Dis,2017,65(12):2130-2136.DOI: 10.1093/cid/cix682.
    [35]
    VinaikR,BarayanD,ShahrokhiS,et al.Management and prevention of drug resistant infections in burn patients[J].Expert Rev Anti Infect Ther,2019,17(8):607-619.DOI: 10.1080/14787210.2019.1648208.
    [36]
    柴家科, 郑庆亦, 李利根, 等. “八二”昆山工厂铝粉尘爆炸事故八例特重度烧伤伤员救治分析[J]. 中华烧伤杂志, 2018, 34(6):332-338. DOI: 10.3760/cma.j.issn.1009-2587.2018.06.004.
    [37]
    WalshDM,McCulloughSD,YourstoneS,et al.Alterations in airway microbiota in patients with PaO2/FiO2 ratio ≤ 300 after burn and inhalation injury[J].PLoS One,2017,12(3):e0173848.DOI: 10.1371/journal.pone.0173848.
    [38]
    LeeYL,SimsKD,ButtsCC,et al.The combination of SAT and SBT protocols may help reduce the incidence of ventilator-associated pneumonia in the burn intensive care unit[J].J Burn Care Res,2017,38(2):e574-e579.DOI: 10.1097/BCR.0000000000000451.
    [39]
    LuoJ,GuoGH.Interpretation for practice guidelines for prevention, diagnosis, and treatment of ventilator-associated pneumonia in burn patients by american burn association[J/OL].Burns Trauma,2015,3:11[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/27574657/.DOI: 10.1186/s41038-015-0009-5.
    [40]
    吴亮,虞意华,李莉,等.乙酰半胱氨酸雾化吸入联合支气管镜治疗老年重症呼吸机相关性肺炎的临床效果[J].中华烧伤杂志,2020,36(4):267-272.DOI: 10.3760/cma.j.cn501120-20200229-00107.
    [41]
    GlasGJ,LeviM,SchultzMJ.Coagulopathy and its management in patients with severe burns[J].J Thromb Haemost,2016,14(5):865-874.DOI: 10.1111/jth.13283.
    [42]
    LiuJ,LiuYQ,LiuSJ,et al.Hypocoagulation induced by broad-spectrum antibiotics in extensive burn patients[J/OL].Burns Trauma,2019,7:13[2021-02-09]. https://pubmed.ncbi.nlm.nih.gov/31058197/.DOI: 10.1186/s41038-019-0150-7.
    [43]
    夏照帆,朱峰.重视危重烧伤凝血障碍的诊治[J].医学研究生学报,2018,31(8):785-789.DOI: 10.16571/j.cnki.1008-8199.2018.08.001.
    [44]
    姚则名, 冷敏, 汪虹. 烧伤患儿辅助镇痛镇静治疗的研究进展[J]. 中华烧伤杂志, 2020,36(10): 979-982. DOI: 10.3760/cma.j.cn501120-20190731-00327.
    [45]
    海峡两岸医药卫生交流协会烧创伤暨组织修复专委会.氧化亚氮与氧气混合吸入镇静镇痛技术在烧伤外科应用的专家共识(2021版)[J].中华烧伤杂志,2021,37(3):201-206.DOI: 10.3760/cma.j.cn501120-20200523-00284.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (314) PDF downloads(76) Cited by()
    Proportional views
    Related

    Copyright © Chinese Journal of Burns京ICP备07035254号-14

    E-mail：shaoshangzazhi@163.com

    Website：https://zhsszz.xml-journal.net/

    Supported by: Beijing Renhe Information Technology Co. Ltd    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return