加强烧伤创面处理是防治并发症的重要措施

Enhancing treatment of burn wounds is an important measure for prevention and treatment of complications

创面修复是烧伤治疗的永恒主题，创面是烧伤炎症介质的主要来源之一，烧伤痂下组织和水肿液含有大量炎症介质，焦痂还含有“烧伤毒素”，是引起脏器损害的重要因素。能否有效加速烧伤创面的修复，是影响烧伤治愈率和治疗质量的关键问题。

Burn wound repair is an eternal issue forburn treatment, Ischemia and hypoxia caused by stress and wound inflammatory reactions to burn injuries are key factors of sepsis and organ complieations. Therefore, the treatment of burnwound is not only relevant to repair of burn wound ilself; early extensive escharectomy and wound coverage are also importantmeasures for prevention and treatment of complications, such as epsis and organ dysfunction. Besides the good vital supportive treatment such as circulation maintenance, coverage of open wounds wilh reliable skin substitutes is also the key point to ensure success of early extensive escharectomy.