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題名:大面積燒傷治療
書刊名:護理雜誌
作者:林郁勳林秀華史麗萍楊永健
作者(外文):Lin, Yu-hsunLin, Hsiu-huaShi, Li-pingYeong, Eng-kean
出版日期:2016
卷期:63:1
頁次:頁12-16
主題關鍵詞:大面積燒傷治療與復健Major burnTreatment and rehabilitation
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:7
大面積燒傷是全身性的疾病,除了充分了解傷口癒合機轉外,正確燒傷深度判斷和面積評估是大面積燒傷治療重要的基本步驟。由於治療方法的快速進步,包括適當體液復甦術、早期傷口切除、早期植皮、有效的熱量補充和積極的敗血症治療等,已大大提升了大面積燒傷的存活率。然而,對大面積燒傷的存活者而言,疤痕肥厚攣縮僵硬導致關節活動受限制是後續臨床的挑戰性問題。總結,大面積燒傷治療與復健過程漫長且多面向,需要一個完整的治療計畫,及一個包括醫師、護理人員、社工、復健師和心理師的健全團隊,透過彼此間充分的溝通與相互的支持,完成協助病人重返社會為最終治療目的。
Major burn injuries constitute a systemic disease. In addition to completely understanding the mechanisms of wound healing, precise burn depth and area assessment is critical to the successful management of burn injuries. The recent advancements in post-burn fluid resuscitation, tangential burn excision and grafting, effective enteral tube feeding, and aggressive sepsis treatment have helped greatly increase the survival rates for major burn injuries. However, the restricted joint motion that results from hypertrophic scar contracture remains the main challenge facing burn survivors. In conclusion, as the course of the treatment and rehabilitation is prolonged and multifaceted, a complete treatment plan is always necessary in addition to teamwork among physicians, nurses, social workers, physical therapists, and psychologists. Finally, social return is the final goal of treatment and may be achieved only through mutual support and understanding among the members of the burn treatment and rehabilitation team.
期刊論文
1.Arnoldo, B. D.、Purdue, G. F.(2009)。The diagnosis and management of electrical injuries。Hand Clinics,25(4),469-479。  new window
2.Artz, C. P.(1970)。Historical aspects of burn management。Surgical clinics of North America,50(6),1193-1200。  new window
3.Giretzlehner, M.、Dirnberger, J.、Owen, R.、Haller, H. L.、Lumenta, D. B.、Kamolz, L. P.(2013)。The determination of total bum surface area: How much difference。Burns,39(6),1107-1113。  new window
4.Keaney, T. C.、Tanzi, E.、Alster, T.(2016)。Comparison of 532 nm potassium titanyl phosphate laser and 595 nm pulsed dye laser in the treatment of erythematous surgical scars: A randomized, controlled, open-label study。Dermatologic Surgery,42(1),70-76。  new window
5.Klotz, T.、Kurmis, R.、Munn, Z.、Heath, K.、Greenwood, J. E.(2015)。The effectiveness of moisturizers in the management of burn scars following burn injury: A systematic review。JBI Database of Systematic Reviews and Implementation Reports,13(10),291-315。  new window
6.Kopp, J.、Wang, G. Y.、Horch, R. E.、Pallua, N.、Ge, S. D.(2003)。Ancient traditional Chinese medicine in burn treatment: A historical review。Burns,29(5),473-478。  new window
7.Ladak, A.、Tredget, E. E.(2009)。Pathophysiology and management of the bum scar。Clinics in Plastic Surgery,36(4),661-674。  new window
8.Mendonga Machado, N.、Gragnani, A.、Masako Ferreira, L.(2011)。Burns, metabolism and nutritional requirements。Nutricion Hospitalaria,26(4),692-700。  new window
9.Monstrey, S.、Hoeksema, H.、Verbelen, J.、Pirayesh, A.、Blondeel, P.(2008)。Assessment of burn depth and burn wound healing potential。Burns,34(6),761-769。  new window
10.Park, T. H.、Rah, D. K.(2015)。Successful eradication of helical rim keloids with surgical excision followed by pressure therapy using a combination of magnets and silicone gel sheeting。International Wound Journal。  new window
11.Peeters, Y.、Vandervelden, S.、Wise, R.、Malbrain, M. L.(2015)。An overview on fluid resuscitation and resuscitation endpoints in burns: Past, present and future. Part 1 - Historical background, resuscitation fluid and adjunctive treatment。Anaesthesiology Intensive Therapy,47(5),6-14。  new window
12.Pinnegar, M. D.、Pinnegar, F. C., 3rd.(1986)。History of burn care: A survey of important changes in the topical treatment of thermal injuries。Burns,12(7),508-517。  new window
13.Serrano, C.、Boloix-Tortosa, R.、Gomez-Cia, T.、Acha, B.(2015)。Features identification for automatic burn classification。Burns,41(8),1883-1990。  new window
14.Yeong, E. K.、Mann, R.、Goldberg, M.、Engrav, L.、Heimbach, D.(1996)。Improved accuracy of bum wound assessment using laser Doppler。Journal of Trauma and Acute Care Surgery,40(6),956-962。  new window
圖書論文
1.Nguyen, D. T.、Orgill, D. P.、Murphy, G. F.(2009)。The pathophysiologic basis for wound healing and cutaneous regeneration。Biomaterials for treating skin loss。Cambridge, UK:Woodhead。  new window
 
 
 
 
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