摘要
经过半个多世纪的努力，我国烧伤治疗水平逐步提高，已有一套完整有效的治疗方案。烧伤患者的治愈率已超过95％，半数致死烧伤面积（LD50）已达80％～90％TBSA。但是严重烧伤是复杂的全身性疾病，治疗仍面临许多尚未解决或亟待完善的问题，近年来有一些新思路和新进展，值得关注。
Although the outcome of burn patients has been improved, many aspects of management of severe burn patients remain controversial. Here we focus on the management of hypermetabolism and the resuscitation of respiratory function. Currently, the fluid resuscitation method shifts from insufficient fluid regimen to excessive fluid loading. The benefit of colloid infusion and restrictive blood transfusion need to be authenticated by further clinical trial, and the best form of fluid resuscitation has yet to be identified. The respiratory management of burn patients had been improved . Early tracheostomy, ventilation with low tidal volume and brochoalveolar toilet are recommended. Many potential beneficial treatment strategies have been identified by recent research in the metabolic response to burn injury. Although immunomodulation therapy is promising, most of them are not clinical viable, and further clinical research is warranted.
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2007年第5期321-323,共3页
Chinese Journal of Burns
关键词
烧伤
治疗
补液疗法
Burns
Therapy
Fluid therapy
