烧伤伤口愈合过程:回顾

Tuti Lestari, S. Syukur, Gusti Revilla, Rauza Sukma Rita, Rini Rustini
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引用次数: 0

摘要

烧伤是一种严重损伤,可导致严重的发病率和死亡率。烧伤伤口的愈合过程是一个复杂而动态的过程,涉及许多不同的细胞和分子事件。烧伤伤口愈合的三个主要阶段是炎症、增殖和重塑。炎症是烧伤伤口愈合的第一阶段。在这一阶段,白细胞(WBC)和其他免疫细胞被招募到伤口部位,清除坏死组织和细菌。炎症反应还会产生一些生长因子,刺激新组织的生长。烧伤伤口愈合的增殖阶段大约在受伤后 3-4 天开始。在这一阶段,会形成新的血管、结缔组织和上皮细胞。上皮细胞最终会在伤口上形成一层新的皮肤。烧伤伤口愈合的重塑阶段在受伤后 2 周左右开始,可持续数月甚至数年。在这一阶段,新生组织会进行重组和重塑。在这一阶段形成的疤痕组织通常比原来的皮肤更厚,弹性更差。烧伤伤口的愈合会受到多种因素的影响,包括烧伤的面积和深度、患者的年龄和整体健康状况以及是否存在感染。烧伤伤口愈合的并发症包括感染、败血症和死亡。烧伤创面治疗的最新进展包括皮肤移植、生长因子和人造皮肤替代物的使用。这些进步改善了烧伤伤口的愈合,降低了并发症的风险。
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The Burn Wound Healing Process : A Review
Burn wounds are a serious injury that can lead to significant morbidity and mortality. The burn wound healing process is a complex and dynamic process that involves a number of different cellular and molecular events. The three main stages of burn wound healing are inflammation, proliferation, and remodeling. Inflammation is the first stage of burn wound healing. During this phase, white blood cells (WBCs) and other immune cells are recruited to the wound site to remove dead tissue and bacteria. The inflammatory response also produces a number of growth factors that stimulate the growth of new tissue. The proliferative phase of burn wound healing begins about 3-4 days after the injury. During this phase, new blood vessels, connective tissue, and epithelial cells are formed. The epithelial cells eventually form a new layer of skin over the wound. The remodeling phase of burn wound healing begins about 2 weeks after the injury and can last for months or even years. During this phase, the new tissue is reorganized and remodeled. The scar tissue that forms during this phase is usually thicker and less elastic than the original skin. The healing of burn wounds can be affected by a number of factors, including the size and depth of the burn, the patient's age and overall health, and the presence of infection. Complications of burn wound healing can include infection, sepsis, and death. The latest advances in burn wound treatment include the use of skin grafts, growth factors, and artificial skin substitutes. These advances have improved the healing of burn wounds and reduced the risk of complications.
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