外科学烧伤英文课件.ppt

Emergent treatment includes, * Remember to mark down patient’s medical situation. * 救护车ambulance * Well this is the key point of this lecture. I require you pay a little bit attention to this. And I’m sure contents of this section will appear in your final exam. * First let’s have a look on how to evaluate the quantity of intake fluid.In China we usually use the colloid/crystalloid formula for F.R. Generally it is called Shanghai formula. As other fluid formula, it combines two parts, one is for physical requirement, other part for lose. Here I only show you the calculation of lose quantity. * Besides the quantity, we also need to implement some other therapies. * Well, we had made the fluid plan, how do we know its effects? You had learnt how to observe a patient in shock, and we also know what is the main physiopathology change of the whole body during this disease procedure—hypovolemia, in other word, shock. So the data we observe are as same as you had known. What are they? * Third part of the treatment, wound treating. * Scab decompression is important for deep burn. * Then I will introduce some operation methods which are wild used in clinic. We need remove death tissue from body first, there’re two ways: Then cover the wound. * A quick look on inhalation injury. * Chemical injury and electric injury * * Here I wanna show you some pictures on contracted scar. Being as a burn specialist, we are not only concerned on wound healing, but the quality of healing, the quality of patient’s life. * Introduce some new tech used in clinic. * Introduce some new tech used in clinic. * Treatment Wound treatment Scab Decompression (减压） Incise to deep fascia layer on lengthways(纵向） For ring-like eschar of limbs, incise on the extend side Cut through anterior axillary line for trunk decompression Treatment Wound treatment Operation tangential excision(削痂） escharectomy （切痂） Stamp Microskin Mash flap Treatment Inhalation injury Diagnosis: Burnt in an inclosed are