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中华损伤与修复杂志(电子版) ›› 2021, Vol. 16 ›› Issue (05) : 374 -382. doi: 10.3877/cma.j.issn.1673-9450.2021.05.002

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重症烧伤救治：理念、挑战与希望
贾赤宇1,†(), 王鹏1, 张泽鑫1   
  1. 1. 361102　厦门大学附属翔安医院烧伤整形与创面修复科
  • 收稿日期:2021-07-25 出版日期:2021-10-01
  • 通信作者: 贾赤宇
  • 基金资助:
    福建省自然科学基金(2019J01011); 福建医科大学附属协和医院2020年省重点实验室开放课题(XHZDSYS202004，XHZDSYS202005); 厦门大学附属翔安医院科研启动经费(PM201809170010)

Treatment of severe burns: concept, challenge and hope

Chiyu Jia1,†(), Peng Wang1, Zexin Zhang1   

  1. 1. Department of Burns and Plastic & Wound Repair Surgery, Xiang′an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen 361102, China
  • Received:2021-07-25 Published:2021-10-01
  • Corresponding author: Chiyu Jia
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贾赤宇, 王鹏, 张泽鑫. 重症烧伤救治：理念、挑战与希望[J]. 中华损伤与修复杂志(电子版), 2021, 16(05): 374-382.

Chiyu Jia, Peng Wang, Zexin Zhang. Treatment of severe burns: concept, challenge and hope[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2021, 16(05): 374-382.

重症烧伤除全身大面积皮肤损伤外，常伴随着复杂的全身性并发症，如休克、严重感染、吸入性肺损伤以及免疫力低下等，这是导致重症烧伤患者死亡的重要原因。经过几代人的不懈努力，我国的烧伤救治水平已取得长足的进步，成绩斐然，救治水平居世界先进行列。但是，对于重症烧伤的脓毒症防治、创面处理、营养支持、镇静镇痛与康复治疗等重点救治问题，每个烧伤工作者的救治理念与思维模式却不尽相同。除此之外，重症烧伤的幸存患者也面临着大范围瘢痕、创伤后应激综合征、容貌受损和肢体功能障碍等较为棘手的问题。近十几年来，随着烧伤基础研究的深入和新兴技术的不断更迭推广，干细胞移植、体外膜肺氧合技术、3D打印技术和智能远程医疗在重症烧伤救治中已显示出潜在优势和巨大的应用前景。因此笔者特撰此文，旨在围绕重症烧伤的救治重点、难点和新兴技术的应用情况等主要问题进行阐述，以期规范和完善重症烧伤救治方案，为进一步提高患者的远期生存质量提供理论依据。

关键词: 重症烧伤, 救治, 理念, 挑战与希望

Except for extensive skin injury, severe burns is often accompanied by complex systemic complications, such as shock, severe infection, inhalation lung injury, and low immunity, which is an important cause of death of severe burn patients. Through the unremitting efforts of several generations, the level of burn treatment in China has made great progress, made remarkable achievements, and ranks among the advanced in the world. However, for the key treatment problems of severe burns, such as sepsis prevention and treatment, wound treatment, nutritional support, sedation, analgesia, and rehabilitation treatment, the treatment concept and thinking mode of each burn worker are different. In addition, the survivors of severe burns also face thorny problems such as large-scale scars, post-traumatic stress syndrome, facial damage, and limb dysfunction. In recent ten years, with the deepening of basic research on burns and the continuous replacement and promotion of emerging technologies, stem cell transplantation, extracorporeal membrane oxygenation technology, 3D printing technology, and intelligent telemedicine have shown potential advantages and great application prospects in the treatment of severe burns. Therefore, the author especially writes this article to elaborate on the key points and difficulties of the treatment of severe burns and the application of emerging technologies, in order to standardize and improve the treatment scheme of severe burns and provide a theoretical basis for further improving the long-term quality of life of patients.

Key words: Severe burns, Treatment, Concept, Challenge and hope
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