01
临床背景简介烧伤的严重程度取决于受伤组织的范围和深度,烧伤深度可分为Ⅰ度、Ⅱ度和Ⅲ度。
Ⅱ度烧伤损伤较深。皮肤水疱。水疱底部呈红色或白色,充满了清澈、粘稠的液体。触痛敏感,压迫时变白。
损伤到真皮层但仍有真皮层残留的烧伤创面为深Ⅱ度烧伤。
02
护理要点- 早期使用负压治疗,能减轻水肿和疼痛,提高创面愈合质量
- 对于坏死组织较多的深II度创面,可早期用薄层削痂联合负压治疗策略,加速创面愈合
03
病例报告患者病例报告
成人深II度烧伤创面中使用负压封闭引流技术的目的是:
防止创面加深、感染、水分蒸发,提供适合于创面愈合的温湿环境
-能够增加局部血流灌注,减轻水肿和疼痛,降低创面继续加深的概率
-可以促进坏死组织溶解脱落、加速创面愈合,提高创面愈合质量
01Use of subatmospheric pressure therapy to prevent burn wound progression in human: first experiences
L.-P. Kamolz a,∗, H. Andel b, W. Haslik a, W. Winter b, G. Meissl a, M. Frey a
Abstract Thermal trauma causes two different types of injuries within the burn wound. First, an immediate and irreversible injury, and, second, a delayed and partly reversible injury. It is a very common observation in burned patients that areas that initially seemed to be partial thickness burns have to be regarded as full thickness within the next day or days. The impairment of blood flow within the zone of stasis is due to the impairment of the vascular patency at the microvascular level. This progression is clo


