烧伤治疗学的辩证观

The Dialectical View of Burn Therapy

烧伤治疗学的辩证观就是针对烧伤发病过程中不同阶段不同性质的矛盾，采用不同的治疗方法。既要抓住发病的根本原因，治病求本；又要权衡病情的轻重缓急，急则治标，缓则治本，或标本兼治。本文论证了烧伤发病过程中不同阶段的标本治疗原则。即：（1）在总体治疗原则中，局部治疗为本，全身治疗为标；（2）在局部治疗原则中，驱除坏死组织为本，修复缺损组织为标；（3）在驱除坏死组织治疗中，液化成脓为本，干燥结痂为标；（4）在修复创面治疗中，再生修复为本，植皮覆盖为标；（5）在防治感染中，坏死组织引流通畅为本，抗生素杀菌为标，（6）在营养支持治疗中，食补为本，药补为标。

Dialectical view of burn therapy means to treat burns at different stages with differentmethods according to the case. And to treat the root cause as well as weighing the relative importanceand urgency of the symptoms. In emergency case, treat the acute symptoms first, when these being re-lieved, treat its fundamental cause. So both the root cause and the symptoms are well considered. Theauthor proposed a principle, it is as the following: 1, As a whole, local treatment comes first, thensystemic treatment; 2, in local treatment, treat necrotic tissue first, then repair defect; 3, for necrotictissue removal, promote liquefaction first, then dry scab; 4, for wound recovery, regeneration and re-covery first, then skin grafting; 5, for infection prevention and treatment, keep active drainage to re-move necrotized tissue first, then the application of antibiotics and 6, for nutrition support, nutritivediet first, then tonic drug.