燒燙傷的程度劃分中英文

1、燒燙傷的程度劃分I度燒燙傷（紅斑性燒傷）：傷及皮膚表皮，表現(xiàn)為受傷處皮膚輕度紅、腫、熱、痛，感覺過；3-7 敏，無水泡天愈合，不留瘢燒傷深度的評定二、（1）淺II度燒燙傷（水皰性燒傷）：傷及真皮乳頭層，水皰較大，皰壁厚，基地潮濕，表現(xiàn) 為受傷處皮膚 疼痛劇烈、感覺過敏，有水泡；水泡撥離后可見創(chuàng)面均勻發(fā)紅、潮濕、水腫明顯；2 周愈合，不留瘢痕，可有色素沉著。（2）.深I(lǐng)I度燒燙傷：傷及真皮深層，創(chuàng)面水皰較小、皰壁厚，去皮后基地紅白相間，可見網(wǎng)狀血 管栓塞。表現(xiàn)為受傷皮膚痛覺較遲鈍，可有或無水泡，基底蒼白，間有紅色斑點；拔毛時可感覺疼 痛；3-4周痊愈，留有瘢痕。三、III度燒燙傷（焦痂性燒傷）：

2、傷及皮膚全層，達肌肉或骨骼層，皮膚感覺消失，無彈性，干燥， 無水泡，蠟白、焦黃或碳化；拔毛時無疼痛。嚴重的燒傷不僅損傷皮膚，還可深達肌肉、骨骼甚至引起 全身變化如休克感 染等。愈合慢，愈合后疤痕增生。Burn ClassifiestionNote: The Ii st below shows 4 burn degrees While most of the pub Ii c does not recognize the 4degree,it is the cor rect term. The tabIe below, with 3 degrees, i s a I so cor rect. B

3、oth are acceptable.Determining burn depth i s important. Things to consider are temperature, mechan i sm , duration of contact, b I ood f I ow to skin, and anato mi c I oca tion. Ep i derma I dep th var ies with body surface, wh ich can offer varying degrees of thermaI protection. Older aduIts and y

4、oung chi Idren a I so have th i nner sk i n.First degree:IncIudes on Iy the outer Iayer of skin, the ep i dermi sSkin i s usuaIly red and very painfulEquivalent to superf icia I sunburn without bI i stersDry i n appearanceHeaIi ng occurs i n 35 days, i njured ep i thelium pee Is away from the heaI t

5、hy sk i nHosp ita I i zation i s for pain controI and maybe fluid imba IanceSecond degree: Can be cI ass if ied as partial or fuI I thickness.Partial thicknessBI i sters can be presentInvolve the ent ire epidermis and upper Iayers of the dermi sWound wi I I be pink, red in color, painful and wet app

6、ear ingWound wi I I bIanch when pressure i s appI iedShouId heaI i n severaI weeks (1021 days) without grafting , scarr i ng i s usuaIly minimalFulI thicknessCan be red or white in appearanee, but wi I I appear dry.Involves the destruetion of the ent ire ep i dermi s and most of the dermi sSensation

7、 can be present. but dim inishedBIanch i ng i s sIuggi sh or absentFuI I thickness wi I I most likely need exci s ion & sk i n grafting to heaIThird degree:AI I Iayers of the sk i n are destroyedExtends into the subcutaneous tissuesAreas can appear, bI ack or wh i te and wi I I be dryCan appear Ieat

8、hery in textureWi I I not bIanch when pressure i s appI i edNo pa i nFouth degree: FuI I thickness that extends into muscle and bone.Bur n in jury i s the des true tion of the layers of the sk i n and assoc i a ted st rue tures.Anatomy of Skin:HaiThe Ski丘 1Sebaceous GianSensory-EPidermiS /Nerve 一 )J

9、rm i S-SUbeUta neous TiSSUe F 血 QbhStSCaPi I I ar i eSArterjOICpdBfwr神經(jīng)Darmf I i rwv* fM汗腺導(dǎo)管CCCrvW m u t囊MBfit*汗腺M毛肌I An*脂肪細胞燒傷的致傷原因熱力（熱水、蒸汽、火焰）化學物質(zhì)（強酸、強堿）電放射線燒傷的病理生理分期1,休克期：傷后48-72h內(nèi)-大量體液滲出，2-3h最快，8h達到高峰，48h開始回吸收，此期易 發(fā)生低容量性休克。感染期：72h后-皮膚生理屏障被破壞。創(chuàng)面、滲液黎宇細菌生長繁殖，產(chǎn)生毒素。感染燒傷創(chuàng) 面膿毒癥。修復(fù)期：傷后5-8天開始- I度燒傷，3-7天自

10、行修復(fù)。淺II度燒傷，2周愈合，有色素沉 著。深I(lǐng)I度燒傷，3-4周愈合，留有瘢痕。III度燒傷，靠皮膚移植修復(fù)，留有瘢痕，影響功臨床表現(xiàn)和診斷1,燒傷面積：手掌法：傷員本人五指并攏的手掌面積為體表總面積的1%,五指自然分開的手掌面積 為1.25% ,適用于小面積燒傷的評估。2,九分en九分法頭別干58TR頭K 手卿上 e en 足/Jx3P 3667131315713219%29%3燒傷的嚴重程度：根據(jù)燒傷深度與面積判斷 輕度燒 II。面積9%中度燒 II 面積10%-29%傷：III 面積不足10%重度燒總燒傷面積達30%-49%傷：或III。面積達10%-19%II x lll燒傷并休克、吸入性損傷特重燒總燒傷面積50%傷：III 20%或已有嚴重并發(fā)癥吸入性損傷診斷依據(jù)：*吸入火焰、蒸汽、