The fatality rate of patients with critical burns is extremely high, and the clinical treatment is challenging. By reviewing the history on treatment of critically ill burns patients, this article elaborates and analyzes the advanced concepts and technologies at home and abroad about the critical burn treatment in the areas including shock and fluid resuscitation, hypermetabolism and nutrition, inhalation injury and respiratory support, acute kidney injury and continuous renal replacement therapy, wound assessment and management, infection and control, coagulopathy and its prevention and treatment, etc. Furthermore, some thoughts on the future development trend of critical burn treatment are put forward as reference for people in the same field.
危重烧伤患者病死率极高，临床救治具有一定挑战。本文通过回顾危重烧伤救治沿革，对当今国内外危重烧伤救治中的休克与液体复苏、高代谢与营养治疗、吸入性损伤与呼吸支持、急性肾损伤与连续性肾脏替代治疗、创面评估与处理、感染与控制、凝血功能障碍与防治等方面的先进理念和技术进行阐述和分析，并就危重烧伤救治未来的发展趋势提出几点思考，供同道参考。.