摘要
烧伤是指由热能、物理或化学制剂等引起的皮肤或上气道消化道等组织损害,是儿童意外伤害的第二大常见原因,也是小儿致残的主要原因之一。据统计,我国烧伤儿童的死亡率为0.13%~6.29%,年龄越小,死亡率越高。死亡主要原因有休克、脓毒症、电解质紊乱、脑损伤和多器官衰竭等。由于儿童具有不同于成人的解剖结构和生理病理特点,导致其烧伤治疗具有特殊性和复杂性。本文讨论儿童严重烧伤诊治和早期急救管理的最新进展,通过优化严重烧伤患儿的早期管理,降低儿童严重烧伤的病死率和致残率。
Burn injury is the second most common cause of accidental injury in children and a leading cause of disability,and refers to damage to the skin,upper airway,digestive tract,and other tissues caused by heat,physical,or chemical agents.In China,the mortality rate for burned children ranges from 0.13%to 6.29%,with younger ages associated with higher mortality.The main causes of death include shock,sepsis,electrolyte disturbance,brain injury,and multiple organ failure.Due to anatomical and physiological differences from adults,treating burns in children is complex and requires special consideration.This article discusses recent advancements in diagnosis,treatment,and early emergency management of severe burns in children intending to reduce mortality and disability rates through optimized early intervention.
作者
赵霞迪
谈林华
Zhao Xiadi;Tan Linhua(Department of Surgical ICU,The Children's Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou,China)
出处
《实用休克杂志（中英文）》
2024年第3期132-136,141,共6页
Journal of Practical Shock
关键词
儿童
严重烧伤
早期急救管理
Children
Severe burns
Early emergency management
作者简介
通信作者:谈林华,E-mail:chtlh@zju.edu.cn
