烧烫伤的程度划分中英文
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烧烫伤等级评定## 烧烫伤的等级评定烧烫伤是我们日常生活中常见的意外伤害之一,对于烧烫伤的处理和等级评定具有重要意义。
烧烫伤等级评定是指根据烧烫伤的程度,将其划分为不同的等级,以便进行有效的治疗和护理。
下面将介绍烧烫伤的等级评定标准。
烧烫伤的等级评定通常采用壮伤标准来进行。
根据美国Society of Critical Care Medicine(SCCM)的标准,烧烫伤可分为一度烧烫伤、二度烧烫伤和三度烧烫伤三个等级。
一度烧烫伤是最轻微的烧伤程度。
表现为皮肤局部发红、肿胀、疼痛,但不出现水泡。
此类烧烫伤一般只影响表皮层,不会引起肌肉或组织的损伤。
对于一度烧烫伤,我们一般采取冷却、酒精棉等局部处理方法进行急救。
二度烧烫伤是一种较为常见的烧伤程度。
此类烧烫伤通常分为浅二度和深二度两种情况。
浅二度烧烫伤表现为皮肤破裂,出现水泡且呈现为红色或潮红色。
深二度烧烫伤则呈现为灰白色水泡或黄色水泡,破裂后形成有大量渗液的浅坑。
对于二度烧烫伤,我们需要温和地冷却伤口,避免破裂水泡,然后进行局部处理和消毒等。
三度烧烫伤是最严重的烧伤程度。
皮肤被完全破坏,表现为焦炭或灰黑色,且没有疼痛感。
此类烧烫伤通常伴随着深层组织的损伤,如肌肉、神经、骨骼等。
对于三度烧烫伤,我们需要尽快就医,进行相应的手术治疗和护理。
需要特别注意的是,烧烫伤的等级评定不仅仅依赖于上述的表面损伤情况,还需要综合考虑其他因素,如烧伤区域的大小、部位、深度以及患者的年龄、身体状况等。
因此,在进行烧烫伤等级评定时,我们应该结合全面的情况进行判断和处理。
总的来说,烧烫伤等级评定对于烧烫伤的治疗和护理非常重要。
通过对烧烫伤的准确评定,可以及时采取适当的处理措施,并制定合理的护理计划。
希望大家能够在日常生活中更加注意安全,尽量避免烧烫伤的发生,同时学会正确的急救措施,以保护我们自己和他人的安全与健康。
*以上文档仅供参考,具体内容和细节请以专业医疗机构或专业人士的意见为准。
烫伤分级指南标准Burn classification is an important tool in assessing the severity of a burn injury. There are several different classification systems used to categorize burns based on their depth and extent. These classification systems are valuable in determining the appropriate course of treatment for burn injuries.烧伤分类是评估烧伤伤害严重程度的重要工具。
有几种不同的分类系统用于根据烧伤的深度和范围对烧伤进行分类。
这些分类系统对确定烧伤伤害的适当治疗方案具有重要价值。
One commonly used classification system is the "Rule of Nines," which divides the body into regions that represent 9% or multiples of 9% of the total body surface area. This system helps to estimate the extent of a burn injury and guide decisions about the need for hospitalization and specialized care.一个常用的分类系统是“九法则”,它将身体分成代表总体表面积9%或9%的倍数的区域。
该系统有助于估算烧伤的范围,并指导有关是否需要住院和专门护理的决定。
Another classification system is based on the depth of the burn injury. Burns are typically categorized as first, second, third, or fourth degree, depending on the layers of skin and tissue affected. First-degree burns are superficial and only impact the outer layer of skin, while fourth-degree burns extend through the skin and underlying tissue to affect muscles and bones.另一个分类系统是基于烧伤的深度。
烫伤英语名词A burn is an injury to the skin or other tissue caused by heat, electricity, chemicals, friction, or radiation. Burns can be classified into different categories based on the severity and depth of the injury.First-degree burns, also known as superficial burns, only affect the outer layer of the skin. They are characterized by redness, swelling, and pain. Sunburn is a common example of a first-degree burn.Second-degree burns, or partial thickness burns, affect both the outer layer and the layer underneath the skin. Blisters may form and the skin can appear red, splotchy, and swollen. These burns can be quite painful and may require medical attention.Third-degree burns, also called full thickness burns, extend through all layers of the skin and can damage underlying tissues. The skin may appear charred or white, and the affected area may be numb due to nerve damage. Third-degree burns always require immediate medical attention.In addition to these categories, burns can also be classified by the cause of the injury. For example, thermal burns are caused by heat sources such as fire, hot liquids, steam, or hot objects. Electrical burns result from contact with an electrical source, while chemical burns occur when the skin comes into contact with a caustic substance.Treatment for burns depends on the severity and cause of the injury. For minor burns, it's important to immediately cool the affected area with running water to reduce the temperature of the skin and minimize damage. Over-the-counter pain relievers and topical ointments can also help to alleviate discomfort and promote healing.For more serious burns, medical attention is necessary. This may involve cleaning the wound, applying specialized dressings, and in severe cases, surgery to remove dead tissue and promote healing. In some cases, skin grafts may be necessary to cover the damaged area and promote new skin growth.Preventing burns is crucial in maintaining overall health and safety. This includes using caution around hot objects and surfaces, wearing protective gear when workingwith chemicals or electricity, and being mindful of sun exposure to prevent sunburn. It's also important to have functioning smoke alarms and fire extinguishers in the home to prevent fires and potential burn injuries.烫伤是由热量、电力、化学品、摩擦或辐射引起的对皮肤或其他组织的损伤。
急救烧伤的步骤烧伤是一种常见的意外伤害,我们每个人都有可能遭受到烧伤的风险。
正确的急救方法可以帮助我们缓解痛苦并减少进一步的损伤。
本文将提供关于急救烧伤的一些重要知识点,并介绍具体的步骤。
了解烧伤的严重程度在开始急救之前,我们应该首先判断烧伤的严重程度。
烧伤可以分为三个不同的程度:一度烧伤、二度烧伤和三度烧伤。
一度烧伤通常会导致皮肤发红、肿胀和疼痛,但通常不需要医疗干预。
二度烧伤会导致皮肤破裂、水泡和疼痛。
而三度烧伤是最严重的,会损伤皮肤和组织,甚至导致神经损伤。
急救一度和二度烧伤对于一度和二度烧伤,我们可以采取以下步骤进行急救:1.将受伤部位立即放入冷水中。
冷水可以帮助降低受伤部位的温度,减轻疼痛并减少进一步的损伤。
请注意,不要使用冰水,因为过冷的水可能会导致低温灼伤。
2.将冷水浸泡受伤部位约10到20分钟,直到疼痛减轻为止。
3.轻轻地用干净的毛巾或纱布轻拍受伤部位,以帮助吸干多余的水分。
4.盖上干净的纱布或无纺布,以保护受伤部位。
请不要使用棉花球或绷带,因为它们可能会粘在伤口上。
5.如果疼痛持续或伤口感染,请尽快就医。
急救三度烧伤三度烧伤通常需要专业医疗干预。
在等待医疗救援期间,我们可以采取以下步骤进行初步急救:1.确保伤者的安全,并将其从火源或热源中远离。
2.检查伤者的呼吸和心跳。
如果伤者没有呼吸或心跳,立即进行心肺复苏术(CPR)。
3.避免直接接触伤者的伤口,以免加重伤害。
4.不要试图撕开附着在伤口上的衣物或物体,以免造成进一步的损伤。
5.使用干净的干纱布或无纺布盖住伤口,并轻轻固定,以保护伤口。
专业医疗干预对于严重的烧伤,及时就医非常重要。
在等待医疗救援到达之前,我们可以采取以下措施:1.保持伤者的体温稳定。
可以使用毛毯或衣物来保暖。
2.让伤者保持平躺,并抬高受伤部位,以减轻水肿。
3.监测伤者的呼吸和心跳,并在必要时进行CPR。
请记住,尽管我们可以提供初步的急救措施,但专业医疗人员应该负责处理严重的烧伤情况。
陈述三级烧伤英文作文【中英文版】Title: A Narrative of Third-Degree BurnsIn the realm of injuries, third-degree burns stand as one of the most severe, often resulting from exposure to fire, chemicals, or electricity. The skin, no longer merely inflamed, is now charred and leathery, with damage extending deep into the tissue. It's a painful experience, both physically and emotionally, that demands immediate medical attention.标题:三级烧伤的叙述在众多伤害中,三级烧伤无疑是极为严重的,它通常由火焰、化学品或电击引起。
皮肤不再只是发炎,而是变得焦黑、革质,损伤深入到组织深处。
这是一种身心俱痛的经历,需要立即医疗救治。
The aftermath of such trauma is a journey of recovery, marked by immense pain, potential infections, and a lengthy healing process. The body's resilience is tested, as it attempts to regenerate the damaged tissue, often leaving scars as reminders of the ordeal.在这样创伤的后果中,恢复之路充满了巨大的疼痛、可能的感染和漫长的愈合过程。
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,感觉过敏,无水泡
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) :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。
;3-7
天愈合,不留瘢痕。
Burn Classification
Note: The list below shows 4 burn degrees. While most of the public does not recognize the 4 th degree, it is the correct term. The table below, with 3 degrees, is also correct. Both are acceptable.
Determining burn depth is important. Things to consider are temperature, mechanism , duration of contact, blood flow to skin, and anatomic location. Epidermal depth varies with body surface, which can offer varying degrees of thermal protection. Older adults and young children also have thinner skin.
First degree:
Includes only the outer layer of skin, the epidermis
Skin is usually red and very painful
Equivalent to superficial sunburn without blisters
Dry in appearance
Healing occurs in 3-5 days, injured epithelium peels away from the healthy skin
Hospitalization is for pain control and maybe fluid imbalance
Second degree: Can be classified as partial or full thickness.
Partial thickness
Blisters can be present
Involve the entire epidermis and upper layers of the dermis
Wound will be pink, red in color, painful and wet appearing
Wound will blanch when pressure is applied
Should heal in several weeks (10-21 days) without grafting , scarring is usually minimal
Full thickness
Can be red or white in appearance, but will appear dry.
Involves the destruction of the entire epidermis and most of the dermis
Sensation can be present, but diminished
Blanching is sluggish or absent
Full thickness will most likely need excision & skin grafting to heal
Third degree:
All layers of the skin are destroyed
Extends into the subcutaneous tissues
Areas can appear, black or white and will be dry
Can appear leathery in texture
Will not blanch when pressure is applied
No pain
Fouth degree: Full thickness that extends into muscle and bone.
Burn injury is the destruction of the layers of the skin and associated structures.
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烧伤的致伤原因
1,热力(热水、蒸汽、火焰)
2,化学物质(强酸、强碱)
3,电
4,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。
2,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。
3,修复期:伤后5-8 天开始–I 度烧伤,3-7 天自行修复。
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,影响功能。
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。
2,九分法:
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%
中度烧伤:Ⅱ°面积10%-29%
Ⅲ°面积不足10%
重度烧伤:总烧伤面积达30%-49%
或Ⅲ°面积达10%-19% Ⅱ°、Ⅲ°烧伤并休克、吸入性损伤
特重烧伤:总烧伤面积>50%
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、浓烟等
*燃烧现场相对封闭
*口鼻周围、面、颈部有深度烧伤
*呼吸道刺激症状:声哑、呼吸困难、哮鸣音、咳炭末样痰
特殊类型烧伤的特点
1,电击伤:
“入口”损伤比“出口”严重
“入口”皮肤焦裂样洞穴出入口之间深部组织不规则进行性坏死局部反应重、全身反应轻
2,化学烧伤硫酸、硝酸、盐酸、石碳酸等少见水疱皮革样焦痂
创面蜡白/ 青灰色
疼痛剧烈。