本文通过我国小儿烧伤流行资料分析认为小儿烧伤有持续增多趋势，应强化小儿烧伤防治常识的宣传教育；3岁以内婴幼儿是小儿烧伤的高危人群，即使是中小面积烧伤也可能发生创面脓毒症，应重视3岁以内婴幼儿烧伤的治疗问题。通过文献回顾结合笔者经验，强调了早期冷疗的重要性；建议对小儿烧伤深度的判断应综合评估、动态观察、谨慎判断；推荐小儿中小面积Ⅱ度烧伤创面早期应用负压封闭引流治疗；主张小儿烧伤补液应参考小儿烧伤补液公式，参照小儿外科液体疗法的基本原则进行个体化液体复苏。

This article bases on the analysis of epidemic data of pediatric burns in China, it is believed that there is an increasing trend in pediatric burns. Publicity and education on the common sense of prevention and treatment of pediatric burns should be strengthened. Children within 3 years old are high-risk population of pediatric burns, even if medium and small area burns may be complicated with wound sepsis. The treatment of burns in infants and young children within 3 years old should be taken seriously. Through literature review and author′s experience, the importance of early cryotherapy of burned areas is emphasized, and that comprehensive evaluation, dynamic observation and prudent judgment of the burn depth are suggested. The early application of negative pressure wound therapy for small area wounds with Ⅱ degree burn in children is recommended. It is also proposed that individualized fluid resuscitation should be performed according to the basic principles of pediatric surgical fluid therapy and refer to the formula of pediatric burn fluid resuscitation.