Department of Medical Chemistry, Pomeranian Medical University, 70-204 Szczecin, Poland.
West Pomeranian Center for Treating Severe Burns and Plastic Surgery, 72-300 Gryfice, Poland.
Int J Mol Sci. 2023 Feb 13;24(4):3749. doi: 10.3390/ijms24043749.
Burns and their treatment are a significant medical problem. The loss of the physical barrier function of the skin opens the door to microbial invasion and can lead to infection. The repair process of the damage caused by the burn is impaired due to the enhanced loss of fluids and minerals through the burn wound, the onset of hypermetabolism with the concomitant disruption of nutrient supply, and derangements in the endocrine system. In addition, the initiated inflammatory and free radical processes drive the progression of oxidative stress, the inhibition of which largely depends on an adequate supply of antioxidants and minerals. Clinical experience and research provide more and more data to make the treatment of patients with thermal injury increasingly effective. The publication discusses disorders occurring in patients after thermal injury and the methods used at various stages of treatment.
烧伤及其治疗是一个重大的医学问题。皮肤的物理屏障功能丧失为微生物入侵打开了大门,并可能导致感染。由于烧伤创面大量流失液体和矿物质、代谢亢进导致营养供应中断以及内分泌系统紊乱,烧伤造成的损伤的修复过程受到损害。此外,启动的炎症和自由基过程会推动氧化应激的发展,而氧化应激的抑制在很大程度上取决于抗氧化剂和矿物质的充足供应。临床经验和研究提供了越来越多的数据,使热损伤患者的治疗变得越来越有效。本文讨论了热损伤患者在各个治疗阶段出现的各种紊乱以及所采用的治疗方法。