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中华烧伤与创面修复杂志 2024 年2 月第 40 卷第 2 期 Chin J Burns Wounds, February 2024, Vol. 40, No. 2
本文亮点：
(1) 是国内外首部针对Ⅱ度烧伤创面治疗的临床专家共识，涵盖烧伤创面院前急救处理、非手术治
疗、手术治疗及感染防治 4个方面，旨在形成规范化的Ⅱ度烧伤治疗方案。
(2) 对Ⅱ度烧伤创面的相关术语进行了明确和规范，包括首次将深Ⅱ度烧伤创面进一步分为偏浅深
Ⅱ度和偏深深Ⅱ度烧伤创面等，为规范Ⅱ度烧伤创面的相关诊断、分类和治疗提供了决策基础。
(3) 以循证医学证据为基础，综合考虑临床实践操作的可行性及不同地域的经济水平和文化，形成了
一套可操作性较强的Ⅱ度烧伤临床实践指南。
Highlights:
(1) This was the first clinical expert consensus for the treatment of second-degree burn wounds at
home and abroad, covering the following four aspects: pre-hospital first aid treatment,
non-surgical treatment, surgical treatment, and infection prevention and control of burn
wounds. It aimed to form a standardized treatment plan for second-degree burns.
(2) This consensus clarified and standardized the terminology related to second-degree burn
wounds, including for the first time further dividing deep second-degree burn wounds into
shallow deep second-degree and profound deep second-degree burn wounds, which provided a
decision-making basis for standardizing the relevant diagnosis, classification, and treatment of
second-degree burn wounds.
(3) Based on the evidence-based medicine evidence, comprehensive consideration of the operative
feasibility of the clinical practice, and the economic level and culture in different geographic
regions, a set of operable clinical practice guideline of second-degree burns was formed.
Ⅱ度烧伤创面治疗专家共识（2024版）Ⅱ：
手术治疗和感染防治
中华医学会烧伤外科学分会 海峡两岸医药卫生交流协会暨烧创伤组织修复专委会
通信作者：夏照帆，海军军医大学第一附属医院烧伤外科，全军烧伤研究所，中国医学
科学院烧伤暨烧创复合伤救治关键技术创新单元，上海 200433，Email：xiazhaofan@
163.com
本共识为国际合作项目
【摘要】 Ⅱ度烧伤是临床中最为常见但处理十分棘手
的烧伤类型，其治疗不仅需要考虑换药或手术处置方式本
身可能产生的不同影响，还需评估烧伤部位、患者年龄及烧
伤面积等多方面的因素。目前对于Ⅱ度烧伤创面治疗的手
术方式以及感染诊断、分级等尚未形成统一的标准和规范，
严重影响临床治疗方案的制订。本共识编写组以循证医学
证据为基础，结合专家意见，制订《Ⅱ度烧伤创面治疗专家
共识（2024版）Ⅱ：手术治疗和感染防治》。本共识从Ⅱ度烧
·指南与共识·
DOI：10.3760/cma.j.cn501225-20240112-00015
本文引用格式：中华医学会烧伤外科学分会, 海峡两岸医药卫生交流协会暨烧创伤组织修复专委会 .
Ⅱ度烧伤创面治疗专家共识（2024版）Ⅱ：手术治疗和感染防治[J]. 中华烧伤与创面修复杂志, 2024,
40(2): 101-118. DOI: 10.3760/cma.j.cn501225-20240112-00015.
Chinese Burn Association, Tissue Repair of Burns and Trauma Committee, Cross-Straits Medicine
Exchange Association of China. Expert consensus on the treatment of second-degree burn wounds
(2024 edition) Ⅱ : surgical treatment and infection prevention and treatment[J]. Chin J Burns
Wounds,2024,40(2):101-118.DOI: 10.3760/cma.j.cn501225-20240112-00015.
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