烧伤科主导的综合重症监护病房救治危重烧伤的临床实践和模式探讨  

Discussion on the clinical practice and mode of treating critical burns in a comprehensive intensive care unit led by burn department

作　　者：张丕红[1] 张怡坤 梁鹏飞[1] Zhang Pihong;Zhang Yikun;Liang Pengfei(Department of Burns and Plastic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院烧伤整形外科,长沙410008

出　　处：《中华烧伤与创面修复杂志》2024年第12期1107-1113,共7页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金面上项目(81772084)。

摘　　要：目前,尽管国内诸多烧伤中心和治疗单位建立了烧伤重症监护病房(ICU),但因其容量有限,以及烧伤事故的突发性和烧伤救治专业队伍的逐步转型,越来越多的危重烧伤患者主要在综合ICU接受救治;综合ICU也逐步采取半开放式管理模式,通过以ICU或烧伤科医师为主体的多学科协作进行危重烧伤救治。该文结合临床实践分享烧伤科主导的综合ICU在半开放式管理模式下救治危重烧伤的经验,简要介绍危重烧伤病程中的容量管理策略和感染防控体会,探讨烧伤科主导的综合ICU救治危重烧伤的模式,以便烧伤科医师结合烧伤治疗经验和现代化重症监测诊疗技术,更好地救治危重烧伤患者。At present,although many burn centers and treatment units in China have established burn intensive care units(ICU),due to their limited capacity,the sudden nature of burn accidents,and the gradual transformation of professional burn treatment team,more and more critically burned patients are mainly treated in comprehensive ICU.The comprehensive ICU has been gradually adopting a semi-open management mode,with multidisciplinary collaboration led by ICU or burn specialists for critical burn treatment.Based on clinical practice,this paper shares the experience of treating critical burns under a semi-open management mode led by the burn department in comprehensive ICU,briefly introduces the strategies for capacity management and experience of infection prevention and control in the course of critical burns,and explores the mode of comprehensive ICU led by the burn department in treating critical burns,so that the burn surgeon can better treat critical burns by combining burn treatment experience and modern technologies of critical monitoring,diagnosis and treatment.

关 键 词：烧伤 重症监护病房 半开放式管理 救治经验 学科合作 

分 类 号：R644[医药卫生—外科学]