南开大学附属医院（天津市第四医院）烧伤整形科的创建与发展

Establishment and development of Department of Burns and Plastic Surgery of the Affiliated Hospital of Nankai University （ Tianjin No. 4 Hospital）

天津市第四医院是以烧伤为特色的综合医院，其中烧伤整形科设有6个二级临床科室，床位110张。经过几代人艰苦奋斗，笔者科室先后发展成为天津市重点学科、天津市烧伤急救中心，于1992年成立天津市烧伤研究所，并成为天津医科大学硕士学位授予点。科研方面，开展并完成了中西医结合防治烧伤后肠功能衰竭机制及疗效研究、纤维支气管镜早期诊断与局部治疗的应用、烧伤患者的能量代谢规律及辐照生物敷料的研制等，并获得重要成果。临床方面，利用各种皮瓣与先进手段修复了各种复杂创面及慢性难愈性创面数万例，大面积烧伤患者治愈率达94．1％。2016年，天津市第四医院成为南开大学附属医院，此后笔者科室与南开大学生命科学院国家重点实验室达成了合作开展多种项目研究的意向。在未来的发展中，笔者科室拟以提高大面积烧伤救治水平为主线，在早期综合抗休克、吸人性损伤救治、感染救治、多脏器功能衰竭综合治疗以及创面修复、瘢痕治疗和康复等领域积极开展研究并应用于临床。

Tianjin No. 4 Hospital is a general hospital featured in burns, and the Department of Burns and Plastic Surgery has six secondary clinical departments with 110 hospital beds. After hard working by several generations, the department has successively developed into Tianjin Burn Emergency Center a key discipline in Tianjin and Tianjin Burn Research Institute was established in 1992, and then the department became mas- ter＇s granting unit of Tianjin Medical University. In scientific research aspect, many researches have been completed and obtained important results, such as the mechanism and effect of integrated traditional Chinese and Western medicine in prevention and treatment of intestinal failure, early diagnosis and local treatment with fiberoptie bronehoscope, energy metabolism regularity of burn patients, and the development of irradiated biologi-cal dressings. In clinic aspect, tens of thousands of complex wounds and chronic refractory wounds were repaired by various kinds of flaps and advanced methods, and the cure rate of patients with large burn area reached 94.1%. In 2016, Tianjin No. 4 Hospital became the Affiliated Hospital of Nankai University. Hereafter, a number of research intentions have collaborated between the department and the State Key Laboratory of Academy of Life Sciences of Nankai University. In the future, our department will focus on improving the treatment level of patients with large burn area, carrying out researches on comprehensive antl-shock in the early stage, inha- lation injury treatment, infection treatment, comprehensive treatment of multiple organ failure, wound repair, scar treatment, rehabilitation, and the clinical application.