Scribd Logo
Upload

Welcome to Scribd!

  • 38 views

    Welcome To Zhengzhou University

    Uploaded by

    api-19916399
    Zhengzhou University Burn Injury Department's mission is to repair deficiencies, restore function, and improve appearance through treating congenital malformations, acquired defects, and performing aesthetic surgery. The department offers four courses covering burn diagnosis and assessment, initial medical care, ongoing medical care, and treatment methods. Thermal injuries include burns from flame, steam, electricity, acids, bases, and radiation, with diagnosis involving determining burn extent, depth, and severity. Burns are classified as superficial or deep, with first, superficial second, and deep second/third degree burns characterized by manifestations, healing times, and scarring. Severity is based on total body surface area burned and presence of inhalation injuries from smoke inhalation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Welcome To Zhengzhou University

    Uploaded by

    api-19916399
    38 views31 pages
    Zhengzhou University Burn Injury Department's mission is to repair deficiencies, restore function, and improve appearance through treating congenital malformations, acquired defects, and performing aesthetic surgery. The department offers four courses covering burn diagnosis and assessment, initial medical care, ongoing medical care, and treatment methods. Thermal injuries include burns from flame, steam, electricity, acids, bases, and radiation, with diagnosis involving determining burn extent, depth, and severity. Burns are classified as superficial or deep, with first, superficial second, and deep second/third degree burns characterized by manifestations, healing times, and scarring. Severity is based on total body surface area burned and presence of inhalation injuries from smoke inhalation.

    Original Title

    Burn-1

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Zhengzhou University Burn Injury Department's mission is to repair deficiencies, restore function, and improve appearance through treating congenital malformations, acquired defects, and performing aesthetic surgery. The department offers four courses covering burn diagnosis and assessment, initial medical care, ongoing medical care, and treatment methods. Thermal injuries include burns from flame, steam, electricity, acids, bases, and radiation, with diagnosis involving determining burn extent, depth, and severity. Burns are classified as superficial or deep, with first, superficial second, and deep second/third degree burns characterized by manifestations, healing times, and scarring. Severity is based on total body surface area burned and presence of inhalation injuries from smoke inhalation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    38 views31 pages

    Welcome To Zhengzhou University

    Uploaded by

    api-19916399
    Zhengzhou University Burn Injury Department's mission is to repair deficiencies, restore function, and improve appearance through treating congenital malformations, acquired defects, and performing aesthetic surgery. The department offers four courses covering burn diagnosis and assessment, initial medical care, ongoing medical care, and treatment methods. Thermal injuries include burns from flame, steam, electricity, acids, bases, and radiation, with diagnosis involving determining burn extent, depth, and severity. Burns are classified as superficial or deep, with first, superficial second, and deep second/third degree burns characterized by manifestations, healing times, and scarring. Severity is based on total body surface area burned and presence of inhalation injuries from smoke inhalation.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 31

    Welcome to Zhengzhou University

    BURN
    INJURY
    Department of Plastic Surgery
    The First Teaching Hospital
    Zhengzhou University
    shiyan
    PLASTIC SURGERY

    Mission:
    repair deficiency, restore function,
    improve appearance
    Cure:
    congenital malformation,
    acquired defect , aesthetic surgery
    le:4 courses

    n, diagnose( extent,depth) 　　　　　　　　　　　

    degree; course of disease; field first aid 　　　　　　

    al care: prevention and cure of shock 　　　　　

    al care: treatment of the raw surface 　 　


    luoyang

    hengyang

    jiaozuo beijing
    zhengzhou
    1. Definition
    Thermal Injury
    Hurt caused by heat power.
    Heat power——
    *flame,steam-thermal burn,scald burn
    *electric current-electric burn
    * strong acid, strong base-chemical burn

    * radioactive ray-radiographic inspection


    2. Diagnosis
    • Determinations of body • Determinations of
    surface area (BSA)- the depth of burn
    extent *Three degrees for
    1. New rule of Nines
    used in large area four classifications
    2. Rule of patient’s hand
    used in small area *Skin structure

    Using combined both of them


    Total Body Surface Area
    (TBSA)
    Diagnosis :TBSA
    New rule of Nines

    Location Adu
    Hair 3%
    Head Face 3%
    Neck 3%

    Hands 5%
    Diagnosis: BSA
    (The Rule of patient’s hand
    The area of patient’s hand
    covered approximately 1%.
    Using of “New Rule of Nines”and
    “The Rule of Patient’s Hand”

    New rule of Nines: in large area of burn

    The Rule of patient’s hand: in small area of burn

    In clinic :Using both of them.


    the Depth of burn:
    Superficial degree burns
    First degree: Erythematous burns
    Superficial second-degree: Blisters burns
    Deep degree burns
    Deep second-degree: Blisters burns
    Third-degree: Eschar burns

    They are mixed and changeable in patients


    First Degree:
    Epidermis
    Red
    Dry or small to moderate
    sized blisters
    Painful
    Erythematous burn
    No blisters
    3~5 days healing
    No scars
    Superficial
    second-degree
    Superficial of dermis

    Pink or mottled red


    Blister (large) ,moist
    weeping surface

    Painful
    2 weeks healing
    No scars
    Pigmentation
    Deep second Degree:
    Deep layer of dermis

    anesthetic to pinprick,
    hypalgesia
    Blisters (small)
    painful
    3~4 weeks healing,
    Dense scars
    Third Degree:

    -prolonged exposure to
    flame,hot object,contact
    with hige-voltage
    electricity
    -Full thickness
    -No pain , No blisters ,
    Eschars,Insensate surface
    -3~4 weeks eschars
    issolve ,
    -Skin grafting
    degree depth manifestation agglutination
    First Epidermis No blister 3~5 days
    Erythematous burn healing
    No scars
    Superfi Superfici Blisters (large) 2 weeks
    cial II al layer healing,No
    of dermis scars
    ,pigmentation

    Deep Deep Blisters (small) 3-4 weeks


    II layer of painful healing
    dermis hypalgesia dense scars

    III hypalgesi No pain . No 3-4 weeks


    a blisters. eschars eschars
    dissolve
    Skin grafting
    Categorization of
    Severity of Burns

    1.In clinic :
    Small area burns ： Adult , II , <15%;
    Children , II , <10%;
    or III <5%.
    Large area burns ： Adult , II ,>15%;
    Children , II , >10%;
    or III >5%;
    or major area burn in
    head , face , neck or hands.
    Severity of Burns
    2.divided as the severity of burns

    Mild Burns －－ Small area


    Moderate Burns
    　 Severe Burns 　　 Large area
    Special Severe Burns
    Severity of Burns

    Severity Mild Moderate Severe 　 Special Severe

    II Degree < 10% 10%-29% 30%-50% >50%

    III Degre 　 <5% 5%-9% 10%-19% >20%


    ＮＯＴＥＳ : the patient is complicated with
    ① shock;
    ② respiratory tube burns;
    ③ compound injury;
    * Even total area of burns < 30% ,
    whose severity of burns is severe degree.
    * Even total area of burns < 50% ,
    whose severity of burns is special severe degree .
    Inhalation Injury
    (respiratory tube burns)
    Caused by: Inhalation of smoke,gas
    and other irritative or poisoning products.

    Effects:heating power,chemical erosion,


    poisoning all over the body （ CO ） .
    Diagnose
    　　　　　　　　　
    1. The spot is always relatively closed
    tightly; explosion; 　　　　　　
    2. Degree:
    above the throat------mild;
    big bronchus------moderate;
    deep to small bronchus------severe;
    Diagnose
    3. Symptom:
    Stimulus in airway
    charred hairs of nose
    hoarse voice
    expectorate Carbo Medicinalis
    lose one's breath
    wheezing rale in lung
    deep burn in face,neck,mouth and
    nose
    Inhalation Injury
    (respiratory tube
    burns)
    Class is over
    e-mail:
    rockhy317@sohu.com

    You might also like