磨痂术在烧伤创面中的临床应用全国专家共识(2021版)  

National expert consensus on the clinical application of eschar dermabrasion in burn wounds(2021 version)

作　　者：中华医学会烧伤外科学分会 王一兵 吴军 赵冉 Chinese Burn Association;Wang Yibing(不详;Department of Wound Repair Surgery,the First Hospital Affiliated to the Shandong First Medical University,Jinan 250014,China)

机构地区：[1]不详 [2]山东第一医科大学第一附属医院创面修复外科,济南250014 [3]深圳大学第一附属医院(深圳市第二人民医院) [4]山东第一医科大学附属省立医院

出　　处：《中华烧伤杂志》2021年第6期501-507,共7页Chinese Journal of Burns

基　　金：国家自然科学基金面上项目(81972947);山东省自然科学基金重大专项(ZR2019ZD38)。

摘　　要：磨痂术作为烧伤外科三大清创术式之一,适用于处理以深Ⅱ度为主的新鲜烧伤创面。尽管该术式已在临床应用多年,但各单位应用该术式的时机、器具、步骤、术后敷料选择以及术后换药方式等仍有较大不同,造成临床效果参差不齐。中华医学会烧伤外科学分会专家组通过查阅相关文献,筛选分析高级别证据文章,多次深入讨论后,形成具有指导意义的专家共识,以期为磨痂术在烧伤创面的临床应用提供科学、规范的指导。As one of the three major debridement procedures in burn surgery,eschar dermabrasion is optimal to manage fresh deep partial-thickness burn wounds.Despite decades'application in clinic,considerable discrepancies exist in various units on the timing,instruments,procedures,selection of post-operative dressings,and patterns of post-operative dressing change,etc.,leading to inconsistent clinical outcomes.After thorough review of relative literature,screening and analysis of high-level evidence articles and multiple in-depth discussions,the expert team of Chinese Burn Association has formed an instructional expert consensus,hoping to provide scientific and standardized guidance for application of eschar dermabrasion in burn wounds.

关 键 词：烧伤 磨痂 专家共识 适应证 禁忌证 

分 类 号：R61[医药卫生—外科学] R641[医药卫生—临床医学] R274.3