(外科学课件）（参考翻译）滕苗-五年制第八版烧伤三学时（英文-留学生）.pptx

BURNS 烧伤;;Teaching Requirements 教学要求 ? To Grasp 掌握 Estimation of burn area 烧伤面积估测 Judgement of burn depth and severity 评价烧伤深度和严重度 Clinical manifestation , diagnosis and fluid resuscitation of burn shock 烧伤性休克的临床表现、诊断和体液补充 The principle of treatment on burn wound 烧伤创面的治疗原则 ;To Understand 理解 Pathophysiology and clinical stages 病理生理及临床分期 The mechanism of injury on electric and chemical burn 电烧伤和化学性烧伤的损伤机理 To Acquaint 熟悉 Clinical manifestation and prevention of burn infection 烧伤感染的临床表现及预防 The mechanism of injury, clinical manifestation, diagnosis and treatment of inhalation injury 吸入性烧伤的损伤机理、临床表现、诊断和治疗 The principle of treatment on electric and chemical burn 电烧伤和化学性烧伤的治疗原则 ; The Incidence of Burns 烧伤的发生率：;Unexpected Events 突发事件(Social Development and Stable);Unexpected Events 突发事件(Social Development and Stable);Injury Area 损伤范围;Ⅱ. Thermal Burn 热灼伤 ;A female’s whole body surface area;;★ Estimation of Burn Area 估测烧伤面积 ;9%;Chinese Pithy Formula 中国计算公式;Facial and neck 颈部 area(%)： 9＋（12－age）;2. Estimation of burn area using rule of a palm 使用手掌估测规则估计烧伤区域;★ Judgement of Burn Depth 判断烧伤深度 ;;;;;☆Summary of Burn Depth ☆ ;☆烧伤深度总结☆ ; “Four?degrees， five classifications 四度五分法” ：Ⅳ ° Ⅰ ° 浅Ⅱ ° Ⅱ ° 深Ⅱ ° Ⅲ ° Ⅳ ° ：Under deep fascia 深筋膜下;The Judgment of Burn Severity 判断烧伤严重程度;The Judgment of Burn Severity 判断烧伤严重程度;Inhalation Injury 吸入性损伤;Inhalation Injury Classification 吸入性损伤分类;Inhalation Injury Classification 吸入性损伤分类;;1. the Acute Phase of Exudation 急性期渗液(Shock Stage 休克期);2. Infective Stage 感染期 ;3. the Repairing Stage 修复期;4. The Rehabilitation Stage 康复期;Principles of Treatment after Burns 烧伤后治疗原则;First Aid，Transportation and Prime Treatment 急救、运输和主要治疗;Transportation 运输;Prime treatment 主要治疗;; Clinical Features 临床表现 Urine reduce 尿量减少：Adult20ml/h，Child1ml/(kg·h) Pulse 脉搏(HR 心率)120/min Thirsty 口渴 Agitating 焦虑 Vomiting 呕吐 Poor peripheral circulation 外周循环不良 BP 血压- Decreasing 降低, Pulse Differential Presssure 脉压差