烧烫伤的程度划分中英文

1、烧烫伤的程度划分I度烧烫伤（红斑性烧伤）：伤及皮肤表皮，表现为受伤处皮肤轻度红、肿、热、痛，感觉过；3-7 敏，无水泡天愈合，不留瘢烧伤深度的评定二、（1）浅II度烧烫伤（水疱性烧伤）：伤及真皮乳头层，水疱较大，疱壁厚，基地潮湿，表现 为受伤处皮肤 疼痛剧烈、感觉过敏，有水泡；水泡拨离后可见创面均匀发红、潮湿、水肿明显；2 周愈合，不留瘢痕，可有色素沉着。（2）.深II度烧烫伤：伤及真皮深层，创面水疱较小、疱壁厚，去皮后基地红白相间，可见网状血 管栓塞。表现为受伤皮肤痛觉较迟钝，可有或无水泡，基底苍白，间有红色斑点；拔毛时可感觉疼 痛；3-4周痊愈，留有瘢痕。三、III度烧烫伤（焦痂性烧伤）：

2、伤及皮肤全层，达肌肉或骨骼层，皮肤感觉消失，无弹性，干燥， 无水泡，蜡白、焦黄或碳化；拔毛时无疼痛。严重的烧伤不仅损伤皮肤，还可深达肌肉、骨骼甚至引起 全身变化如休克感 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神经Darmf I i rwv* fM汗腺导管CCCrvW m u t囊MBfit*汗腺M毛肌I An*脂肪细胞烧伤的致伤原因热力（热水、蒸汽、火焰）化学物质（强酸、强碱）电放射线烧伤的病理生理分期1,休克期：伤后48-72h内-大量体液渗出，2-3h最快，8h达到高峰，48h开始回吸收，此期易 发生低容量性休克。感染期：72h后-皮肤生理屏障被破坏。创面、渗液黎宇细菌生长繁殖，产生毒素。感染烧伤创 面脓毒症。修复期：伤后5-8天开始- I度烧伤，3-7天自

10、行修复。浅II度烧伤，2周愈合，有色素沉 着。深II度烧伤，3-4周愈合，留有瘢痕。III度烧伤，靠皮肤移植修复，留有瘢痕，影响功临床表现和诊断1,烧伤面积：手掌法：伤员本人五指并拢的手掌面积为体表总面积的1%,五指自然分开的手掌面积 为1.25% ,适用于小面积烧伤的评估。2,九分en九分法头別干58TR头K 手卿上 e en 足/Jx3P 3667131315713219%29%3烧伤的严重程度：根据烧伤深度与面积判断 轻度烧 II。面积9%中度烧 II 面积10%-29%伤：III 面积不足10%重度烧总烧伤面积达30%-49%伤：或III。面积达10%-19%II x lll烧伤并休克、吸入性损伤特重烧总烧伤面积50%伤：III 20%或已有严重并发症吸入性损伤诊断依据：*吸入火焰、蒸汽、