高压电烧伤后微循环障碍及其诊治研究  

Research on microcirculatory disorders and their diagnosis and treatment after high-voltage electric burns

作　　者：张庆富 Zhang Qingfu(Burn and Wound Repair Center,the Third Hospital of Hebei Medical University,,HebeiBurn7Treatment Technology Innovation Center,Shijiazhuang 050051,China)

机构地区：[1]河北医科大学第三医院烧伤与创面修复中心,河北省烧伤救治技术创新中心,石家庄050051

出　　处：《中华烧伤与创面修复杂志》2024年第8期713-718,共6页Chinese Journal of Burns And Wounds

基　　金：河北省自然科学基金面上项目(H2024206495);河北省创新能力提升计划项目(225676120H)。

摘　　要：微循环障碍是高压电烧伤重要的病理生理改变,在高压电烧伤进行性损伤及其并发症的发生和发展过程中起重要作用。高压电烧伤不仅能引起创面微循环障碍,还能引起创面远隔组织和器官的微循环障碍;不仅能引起微血管结构和功能的损害,还能引起微循环血流动力学和细胞流变学的异常。认识高压电烧伤后微循环障碍的特点及变化规律,合理使用改善微循环的治疗方法,对于促进高压电烧伤创面愈合及有效防治相关并发症均有重要意义。该文系统阐述了高压电烧伤后微循环障碍的特点,总结了高压电烧伤后微循环障碍的临床诊断和治疗方法,为高压电烧伤的综合治疗提供新思路。Microcirculatory disorders are important pathological and physiological changes in high-voltage electric burns,playing an important role in the occurrence and development of progressive injury and complications of high-voltage electric burns.High-voltage electric burns can cause microcirculatory disorders not only in the wounds,but also in distant tissue and organs;it can not only cause damage to the structure and function of microvasculature,but also cause abnormalities in microcirculation hemodynamics and cell rheology.Understanding the characteristics and changing patterns of microcirculatory disorders in high-voltage electric burns,and using appropriate treatment methods to improve microcirculation,are of great significance for promoting wound healing and effectively preventing relevant complications in high-voltage electric burns.This article systematically elaborates on the characteristics of microcirculatory disorders after high-voltage electric burns,summarizes the clinical diagnosis and treatment methods of microcirculatory disorders after high-voltage electric burns,and provides new ideas for the comprehensive treatment of high-voltage electric burns.

关 键 词：烧伤 电 微循环 诊断 治疗学 细胞流变学 创面修复 

分 类 号：R647[医药卫生—外科学]