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BURN INJURY Zhang wei Department of Surgery

BURN INJURY (1). BURN INJURY Zhang wei Department of Surgery. BURN INJURY (2). Burn injury is a acute damage caused by heat, electricity and chemical materials. ·devastating injury ·very bad consequence ·septicemia and MSOF ·prevention. BURN INJURY (3). heat.

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BURN INJURY Zhang wei Department of Surgery

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  1. BURN INJURY (1) BURN INJURYZhang wei Department of Surgery

  2. BURN INJURY (2) Burn injury is a acute damage caused by heat, electricity and chemical materials. ·devastating injury ·very bad consequence ·septicemia and MSOF ·prevention

  3. BURN INJURY (3) heat

  4. BURN INJURY (4) electricity Chemical materials Radioactive materials laser

  5. BURN INJURY (5) lightning explosive

  6. BURN INJURY (6) Daily life

  7. BURN INJURY (7)

  8. BURN INJURY (8)

  9. BURN INJURY (9)

  10. BURN INJURY (10)

  11. BURN INJURY (11)

  12. BURN INJURY (12) Prevention:

  13. BURN INJURY (13)

  14. BURN INJURY (14) • PATHOPHYSIOLOGY OF BURN INJURY• AREA, DEPTH, AND SEVERITY OF BURN INJURY• CLINICAL MANIFESTATION AND DIAGNOSIS OF BURN INJURY• TREATMENT OF BURN INJURY

  15. BURN INJURY (15) PATHOPHYSIOLOGY OF BURN INJURY

  16. BURN INJURY (16) • Pathologic stage • ▣ effusion phase • ▣ infective phase • ▣ repair phase • ▣ rehabilitative phase • 2.Local lesions and general responses

  17. BURN INJURY (17) 3. Complications ◧ shock◧sepsis◧pulmonary complications and respiratory failure◧acute renal failure◧stress ulcer◧heart failure◧cerebraledema

  18. BURN INJURY (18) AREA, DEPTH, AND SEVERITY OF BURN INJURY

  19. BURN INJURY (19) Calculating area of burn injury★·Rule of nine· Rule of palm

  20. BURN INJURY (20) 中国九分法 部位 占体表面积 头颈 发部 3 面部 3 9X1(9%) 颈部 3 双上肢 双上臂 7 双前臂 6 9X2(18%) 双手 5 躯干 躯干前 13 躯干后 13 9X3(27%) 会阴 1 双下肢 双臀 5 双大腿 21 9X5+1(46%) 双小腿 13 双足 7

  21. BURN INJURY (21)

  22. BURN INJURY (22)

  23. BURN INJURY (23) 2.Estimating depth of burn injury★▦Ⅰ0: epidermis▦ Ⅱ0: dermissuperficial Ⅱ0: superficial dermis deep Ⅱ0: deep dermis▦ Ⅲ0: entire epidermis and dermis (full-thickness)

  24. BURN INJURY (24)

  25. BURN INJURY (25)

  26. BURN INJURY (26)

  27. BURN INJURY (27) 3. Severity of burn injury ·mild: Ⅱ0 <10%TBS ·moderate: Ⅱ0 10-30%; or Ⅲ0<10%TBS ·severe: total area 30-50%; or Ⅲ0 10-20%; or with shock, airway burn, combined injury ·major: total area >50%; Ⅲ0 >20%; or with severe complications

  28. BURN INJURY (28) depth:superficial: Ⅰ0and superficial Ⅱ0 deep: deep Ⅱ0 and Ⅲ0area:small area: <15%middle area: 15-30%large area: >30%

  29. BURN INJURY (29) CLINICAL MANIFESTATION AND DIAGNOSIS OF BURN INJURY

  30. BURN INJURY (30)

  31. BURN INJURY (31)

  32. BURN INJURY (32)

  33. BURN INJURY (33) Ⅰ0

  34. BURN INJURY (34) superficial Ⅱ0

  35. BURN INJURY (35) superficial Ⅱ0

  36. BURN INJURY (36) deep Ⅱ0

  37. BURN INJURY (37) Ⅲ 0

  38. BURN INJURY (38)

  39. BURN INJURY (39)

  40. BURN INJURY (40) Chemical burns

  41. BURN INJURY (41)

  42. BURN INJURY (42)

  43. BURN INJURY (43)

  44. BURN INJURY (44)

  45. BURN INJURY (45) TREATMENT OF BURN INJURY

  46. BURN INJURY (46) 1. emergency aids★·remove heat source· avoid re-damage·lessen contamination·control pain·manage combined injury

  47. BURN INJURY (47)

  48. BURN INJURY (48)

  49. BURN INJURY (49) cold therapy

  50. BURN INJURY (50)

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