二度烧伤治疗共识(2024 年版)。

IF 6.3 1区 医学 Q1 DERMATOLOGY Burns & Trauma Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI:10.1093/burnst/tkad061
Shizhao Ji, Shichu Xiao, Zhaofan Xia
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引用次数: 0

摘要

二度烧伤是临床上最常见的烧伤类型,也是最难处理的烧伤。其治疗不仅需要考虑换药或手术疗法本身可能导致的不同结果,还需要对烧伤部位、患者年龄和烧伤面积等因素进行评估。同时,需要特别注意的是,目前对于二度烧伤创面的诊断、分类、手术方法、感染诊断和分级还没有统一的标准或规范。这不仅给临床治疗方案的制定带来了巨大挑战,也极大地影响了临床研究的一致性。此外,目前针对二度烧伤创面处理的指南或专家共识较少,尚未形成全面系统的二度烧伤治疗指南或规范。因此,我们在循证医学和专家意见的基础上,制定了《二度烧伤创面救治共识(2024 年版)》。该共识就二度烧伤的院前急救、非手术治疗、手术治疗和感染治疗提出了具体建议。本次共识共提出 58 项建议,旨在形成标准化的临床治疗方案。
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Consensus on the treatment of second-degree burn wounds (2024 edition).

Second-degree burns are the most common type of burn in clinical practice and hard to manage. Their treatment requires not only a consideration of the different outcomes that may arise from the dressing changes or surgical therapies themselves but also an evaluation of factors such as the burn site, patient age and burn area. Meanwhile, special attention should be given to the fact that there is no unified standard or specification for the diagnosis, classification, surgical procedure, and infection diagnosis and grading of second-degree burn wounds. This not only poses great challenges to the formulation of clinical treatment plans but also significantly affects the consistency of clinical studies. Moreover, currently, there are relatively few guidelines or expert consensus for the management of second-degree burn wounds, and no comprehensive and systematic guidelines or specifications for the treatment of second-degree burns have been formed. Therefore, we developed the Consensus on the Treatment of Second-Degree Burn Wounds (2024 edition), based on evidence-based medicine and expert opinion. This consensus provides specific recommendations on prehospital first aid, nonsurgical treatment, surgical treatment and infection treatment for second-degree burns. The current consensus generated a total of 58 recommendations, aiming to form a standardized clinical treatment plan.

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来源期刊
Burns & Trauma
Burns & Trauma 医学-皮肤病学
CiteScore
8.40
自引率
9.40%
发文量
186
审稿时长
6 weeks
期刊介绍: The first open access journal in the field of burns and trauma injury in the Asia-Pacific region, Burns & Trauma publishes the latest developments in basic, clinical and translational research in the field. With a special focus on prevention, clinical treatment and basic research, the journal welcomes submissions in various aspects of biomaterials, tissue engineering, stem cells, critical care, immunobiology, skin transplantation, and the prevention and regeneration of burns and trauma injuries. With an expert Editorial Board and a team of dedicated scientific editors, the journal enjoys a large readership and is supported by Southwest Hospital, which covers authors'' article processing charges.
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