中国烧伤患者住院收治标准(2018版)

2019-01-03 中华医学会烧伤外科学分会

为保证每一例烧伤患者得到最合适的救治,同时保证医疗资源得到最有效的使用,防止有限的医疗资源闲置或滥用,美国、英国、德国、加拿大、澳大利亚与新西兰等发达国家[1,2,3,4,5,6,7]在多年前就分别制订了适合所在国家的烧伤患者住院收治标准(burn referral criteria),并均经过多次反复修订[1,2,3,4]。但直到目前,我国仍无明确的可供参考的烧伤患者收治标准。正是由于我国没有统

中文标题:

中国烧伤患者住院收治标准(2018版)

发布日期:

2019-01-03

简要介绍:

为保证每一例烧伤患者得到最合适的救治,同时保证医疗资源得到最有效的使用,防止有限的医疗资源闲置或滥用,美国、英国、德国、加拿大、澳大利亚与新西兰等发达国家[1,2,3,4,5,6,7]在多年前就分别制订了适合所在国家的烧伤患者住院收治标准(burn referral criteria),并均经过多次反复修订[1,2,3,4]。但直到目前,我国仍无明确的可供参考的烧伤患者收治标准。正是由于我国没有统一的烧伤患者收治标准,使得在国内、国际展示我国或某一单位的烧伤患者流行病学和治疗结果时,总受到一些专家学者的质疑。他们认为由于我国没有统一的烧伤患者收治标准,可能存在因为收治标准过低而增大了住院烧伤患者基数,从而导致我国临床病死率等统计结果数据的偏差。因而,十分有必要根据烧伤患者救治需要,并结合我国的实际情况,制订中国烧伤患者住院收治标准(Chinese burn referral criteria)。

为此,中华医学会烧伤外科学分会、中国医师协会烧伤科医师分会、《中华烧伤杂志》编辑委员会、中国医疗保健国际交流促进会烧伤医学分会、中国老年医学学会烧创伤分会等学术组织,邀请国内多位烧伤专家学者,根据我国具体情况,同时参考国外相关文献与烧伤患者收治标准,将所拟订的《中国烧伤患者住院收治标准》讨论稿经过函评及多次反复讨论、商榷,最终形成了本《中国烧伤患者住院收治标准(2018版)》。希望本标准的出台,有利于规范我国烧伤患者的住院收治,同时提高我国烧伤治疗水平等数据在国际上的说服力和可信度。

考虑到医院分级带来的复杂性,本标准仅作为一般情况下烧伤患者收治的依据,暂不涉及各级医院的不同收治标准。通过将本标准实践一段时间后,再根据使用情况进行适当的补充与调整。

《中国烧伤患者住院收治标准(2018版)》

1.烧伤总面积>10%TBSA的≤70岁成年烧伤患者。

2.烧伤总面积>5%TBSA的≤3岁烧伤患儿或>70岁烧伤患者。

3.烧伤总面积>5%TBSA或合并剧烈疼痛、可能有中毒等的其他小面积化学烧伤患者。

4.需特殊治疗的特殊部位如眼、手、足、会阴、生殖器、关节等烧伤患者。

5.有心搏骤停或需手术治疗的包括闪电等所致的电烧伤患者。

6.需手术治疗的热压伤患者。

7.有其他烧伤创面需住院手术治疗的患者。

8.可能影响呼吸功能的面颈部烧伤或合并吸入性损伤患者。

9.怀疑可能有由烧伤创面引起严重局部侵袭性或全身性感染患者。

10.合并有可能影响烧伤病程与发生发展甚至结局的复合伤的烧伤患者,根据烧伤或创伤本身的情况而决定患者收住烧伤科或其他专科的顺序。

11.合并有可能影响烧伤病程与发生发展甚至结局的既往疾病的烧伤患者,根据烧伤或既往疾病本身的情况决定患者收住烧伤科或其他专科的顺序。

12.需住院进行手术治疗、激光治疗、康复治疗等的烧伤瘢痕患者。


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    2021-10-15 452946589

    学习了

    0

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    2021-10-05 H8888888

    受益匪浅

    0

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    2021-08-26 一米阳光☀️

    学习了

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    2021-07-04 ms2000001668246797

    学习了

    0

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    2021-06-15 ms2000001930621134

    不错。

    0