摘要
严重烧伤病程中，会涉及烧伤休克与液体复苏、呼吸支持、营养支持、肾损伤与肾替代及脓毒症和MODS的防治等诸多重症医学问题。在严重烧伤患者治疗过程中，除创面处理外，也需要进行诸多重症医学常用的操作和器官功能监护以及采用相关支持技术。
The treatment of critically burned patients has benefited from the development of knowledge and technolo- gies that we got in critical care medicine of our country in the past ten years. The close-ended management model of general intensive care unit （1CU） and the idea of general ICU doctors who treat the monitoring of organ function and alternative therapy of organs as their primary tasks would affect the treatments for special critical patients hospitalized in general ICU, especially for those patients who were severely burned. If the burn wounds of patients are not treated timely, properly or in effective man- ner, the final treatment outcome would be affected. Therefore, the establishment of burn ICU is necessary. The development and close-ended management of burn specialty ICU .has signifi- cantly improved the success rates, reduced complications, short- ened hospitalization time, and increased the quality of wound healing of severe burn patients in the past more than 10 years in our unit. With the reducing of burn, especially severe burn ac- cidents, the construction of regional burn center and burn spe- cialty ICU locating in burn center is necessary. It can not only reduce the waste of medical resource, but also ensure timely and professional treatments for the patients in sudden fire accidents. At present, there is no consensus on the establishment and man- agement model of burn specialty ICU, and further discussion is needed in practice.
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2018年第3期136-139,共4页
Chinese Journal of Burns
基金
广州市科技计划项目（2014Y2-00091、201508020262）
关键词
烧伤
重症监护病房
重症医学
管理
Burns
Intensive care units
Critical care medicine
Management
