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中华损伤与修复杂志(电子版) ›› 2026, Vol. 21 ›› Issue (02) : 132 -136. doi: 10.3877/cma.j.issn.1673-9450.2026.02.009

综述

大面积烧伤全身微循环监测及创面血流评估的研究进展
豆哲, 田彭, 代强, 陈旭, 陈辉()   
  1. 100035 首都医科大学附属北京积水潭医院烧伤整形与创面修复科
  • 收稿日期:2025-11-25 出版日期:2026-04-01
  • 通信作者: 陈辉
  • 基金资助:
    首都医科大学附属北京积水潭医院青年基金(QN202501)

Advances in microcirculation and wound perfusion monitoring for extensive burns

Zhe Dou, Peng Tian, Qiang Dai, Xu Chen, Hui Chen()   

  1. Department of Burn and Plastic Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China
  • Received:2025-11-25 Published:2026-04-01
  • Corresponding author: Hui Chen
引用本文:

豆哲, 田彭, 代强, 陈旭, 陈辉. 大面积烧伤全身微循环监测及创面血流评估的研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2026, 21(02): 132-136.

Zhe Dou, Peng Tian, Qiang Dai, Xu Chen, Hui Chen. Advances in microcirculation and wound perfusion monitoring for extensive burns[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2026, 21(02): 132-136.

微循环是连接全身性循环衰竭与多器官功能衰竭的核心环节。大面积烧伤后,机体处于低血容量性休克、烧伤创面、脓毒症与强烈炎症反应相互交织的复杂病理生理状态,其本质是微循环的严重功能障碍。目前关于烧伤后微循环监测的研究及监测手段的重要性逐渐受到关注,因此有必要对大面积烧伤患者全身微循环监测及创面局部血流灌注评估的研究进展进行综述。目前,包括显微成像、近红外光谱成像技术、激光多普勒、糖萼监测等在内的多种微循环监测技术展现出了重要的诊断和预后潜力,有望为烧伤危重症患者的精准治疗提供新视角。

Microcirculation serves as the central link connecting systemic circulatory failure to multiple organ dysfunction syndrome. Following extensive burns, the body enters a complex pathophysiological state characterized by the interplay of hypovolemic shock, burn wounds, sepsis, and intense inflammatory responses, with severe microcirculatory dysfunction at its core. Currently, the importance of research and monitoring methods on post-burn microcirculation monitoring has gradually attracted attention. This review summarizes recent advances in systemic microcirculation monitoring and local wound perfusion assessment in patients with extensive burns. Various microcirculation monitoring techniques, including handheld vital microscopy imaging, near-infrared spectroscopy imaging, laser Doppler imaging, and glycocalyx assessment, have demonstrated significant diagnostic and prognostic potential, which may offer new perspectives for precision treatment in critically ill burn patients.

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