Management of the Chronic Burn Wound

被引:18
作者
Elkins-Williams, Stephen Tyler [1 ]
Marston, William A. [2 ]
Hultman, Charles Scott [1 ]
机构
[1] Univ North Carolina Chapel Hill, Med Ctr, Dept Surg, Div Plast & Reconstruct Surg, Chapel Hill, NC 27599 USA
[2] Univ North Carolina Chapel Hill, Div Vasc Surg, Dept Surg, Chapel Hill, NC 27599 USA
关键词
Chronic wound; Hyperbaric oxygen therapy; Marjolin ulcer; Topical growth factor; HYPERBARIC-OXYGEN; MARJOLINS ULCER; GROWTH-FACTOR; THERAPY;
D O I
10.1016/j.cps.2017.02.024
中图分类号
R61 [外科手术学];
学科分类号
摘要
This article reviews the current evidence in using hyperbaric oxygen therapy (HBOT) in burn wounds. There is also separate consideration of diabetic foot burns and a protocol for use of HBOT in a specific case. The challenges of using HBOT in an acute burn care setting are reviewed. Next the pathophysiology of Marjolin ulcers is reviewed. The current thinking in diagnosis, treatment, and prevention of Marjolin ulcers is discussed. Finally, a background in using topical growth factors (tGF) is provided, followed by a summary of the current evidence of tGF in burn wounds.
引用
收藏
页码:679 / +
页数:10
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