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Welcome To Zhengzhou University
Welcome To Zhengzhou University
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
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
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”
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
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