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From medical encyclopedia

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Key Point:Burn, sick name. Means an injury caused by boiling water (oil), light, fire, electricity, radiation or chemical substances in humans. See millennium wings, vol. 20. They are also known as scabs, soup burns, soup burns. Lightness usually does not affect the internal function, with only local red dizziness, acupuncture or decomposition; heavy damage results in a large and deep area of damage, a high level of fire, a high temperature of heat and poi

Burn, sick name. Means an injury caused by boiling water (oil), light, fire, electricity, radiation or chemical substances in humans. See millennium wings, vol. 20. They are also known as scabs, soup burns, soup burns. Lightness usually does not affect the internal function, with only local red dizziness, acupuncture or decomposition; heavy damage results in a large and deep area of damage, a high level of fire, a high temperature of heat and poison and the depletion of the body's vagina. There are also signs of heat intruding, or haematological haemorrhage, which are clinically visible as thirst, heat, constipation, impotence or even irritation. The treatment of light people requires only extraterrestrial treatment, with an equal amount of land herbs, large yellows, a small amount of ice, and oil. It is useful to identify treatment, sympathic detoxification, cooling out of the camp, or firming up the air to venom, and to regenerate with yellow corrosive soup, rhinocerobic yellow soup, antelope hook soup, or screeching, cosmopolitan soup, etc., and, in the event of a prolonged illness, to regenerate the blood of a person who causes gas damage. Extraterritorial methods include the cleaning of scabies, the treatment of bubbles, the removal of coke or the planting of skin. The above-mentioned ointment can also be applied to the acne and should be treated in a timely manner in cases of serious illness。

Definitions and four degrees

It's called burns. Broadly refers to injuries occurring when organisms are exposed to high temperatures, currents, high radiation or corrosive substances。

Burn (burn): damage caused by fire, high temperature and high radiation heat, known as burns. Burns are tissue damage caused by high temperature, chemical substances or electricity. The extent of the burns varies according to the temperature and duration of the operation. Local changes can be divided into four degrees. First time: blood from angioplasty. Second degree: formation of sero-filled acne burns. Third degree: tissue death. Fourth: carbonization of the organization. There was an increase in the amount of lactated acid in blood visible during burns, a decrease in ph for anthovascular blood, and an increase in the weight of anoxiaemia (anoxemia) as a result of tissue cavity disorders. Clinical experience has shown that there is a risk to life when the burns reach more than three minutes of the surface area of the body。

Most people consider high temperatures to be the only cause of burns, yet certain chemical substances and currents can also cause burns. Skin is often only part of the body burn, and the subcutaneous tissue may also be burned, even if there is no skin burn, or internal organ burn. For example, ingestion of very hot liquids or corrosive substances (e. G. Acids) can burn nutrients and stomachs. Inhalation of smoke or hot air in buildings fires may cause lung burns。

Burned tissues may die. When the tissue burns, the fluids in the vein cause tissue oedema. When large areas of burns are burned, the vascular permeability is abnormal and a large amount of liquid is lost, which may cause shock (see section 24). In shock, blood pressure is low and the flow of blood to the brain and other vital organs is reduced。

Electricity burns are caused by high temperatures above 5,000°c during currents, sometimes referred to as electric arc burns. In electrical currents into parts of the body, the skin is often completely damaged and burned (see section 278). Because of the high dermal resistance to exposure to the electric body, large amounts of electrical energy are converted to heat where surface burns occur. Most electric burns also cause serious damage to subcutaneous tissue, which varies in scope and depth. The impact may be much larger than that of burning skin. Severe electroshocks can suspend breathing and arrhythmia, causing dangerous heart rate disorders。

Chemical burns can be caused by various irritant and toxic chemical substances, including strong acid, strong alkalin, phenol, organic solvents, mustard gas, white phosphorous, etc. Chemical burns can cause tissue deaths and spread slowly a few hours after the burns。

Symptom

The severity of the burns depends on the extent and depth of the tissue, which can be divided into i, ii and iii degrees。

I have the lightest burns. Burns with red skin, pain, visible pain, seepage or oedema. The light-pressed part of the injury was partially whitened, but there was no aqueduct。

The second degree burns are deep. Skin herring. The herring is red or white at the bottom and is filled with clear, visceral liquids. It's painful and sensitive, and it's white when it comes to oppression。

The third degree burns are the worst. Burn surfaces can be white, soft or black, carbonated. As the burned skin becomes pale, it is often mistakenly perceived as normal in white skins, but does not change colour in times of oppression. The damaged red cells can make the local skin of the burns red, occasionally with a herring, so that the hair in the burn area can easily be pulled out and feel reduced. The third degree burn area is generally painless. Because of the nerve ending of the skin。

It often takes days after the burn to distinguish between the depth of ii and iii。

Advance

Burn healing depends on the depth and location of the burns. The surface burns (i degree or ii degree) are shallow, the dead skin is released, the skin is re-growing to cover the ground floor, and there are almost no scratches. Such burns do not destroy the skin of deep skin. The leather can't be born again。

Deep burn damage to skin. It is slow to grow new skins from the remaining skins in the edges and burn areas. The healing is therefore also slow and leaves considerable scars. Skin wrinkles, deformations, affecting function in the burn area。

Light burns of the oesophagus, stomach and lungs are healing well. However, more severe burns can produce scarring and convulsion. Esophagus can cause difficulty in swallowing, and respiratory oscillations affect normal haematological exchange。

Treatment

Light burns

The small area, which is limited to local bubbles, red spots, heat and swelling, can be treated as follows: subsequently, some soy oil, such as vaslin, may be painted at the site of the outbreak。

2. The first use of cold water to wash the face and then treat it with a specialized burn drug would be appropriate to use the exposure therapy, i. E., without dressing, which is directly exposed to the air and heals with the new face。

3. Battery with raw eggs on honey or mixed with two。

4. If the burns are not broken, one piece of tofu can be used, and the sugar can be mixed with one or two of the sugars, which can be replaced with pain and tofu immediately. If the burns are broken, they can be put into the yellow end with a penny, mixed with tofu and sugar. It's a good way to treat the burns, and it's popular。

The use of new liquid coatings for rehabilitation can improve the cycling of the crests and facilitate the restoration of the tissues of the knots, making them heal quickly。

Medium severe burns

1. Fresh surfaces: once sterile biological salt water is washed down and full water bubbles are created, bubble fluids from sterile syringes or small holes are pumped out of the bubbles and their skins are preserved. It is then chosen that the retrofitted fresh liquids of a modest size are wet to the surface and covered with a non-bacterical cloth, glue or bandage. Every 2 days, the drugs are replaced once to maintain a humid state. 2. Contamination, infection and creation: first, by cleaning the surface with a 1-2000 purified thai solution, removing the dead tissue, cutting the skin off the icm at the low level of the aquarium, retaining the skin to squeeze it out, then, after which the rehab veil is wet and covered with a non-bacterized veil, fixed and replaced with a daily change of medicine, 3. The sprouted face, after scratching the old meat sprout, the new rehab cloth is wet to the surface, changing the medicine once a day, and removing the old sprouts with the sprouts. The rehabilitation phase was the beginning of a drying up and permeating. Every two days, the drug is changed once, and the sterile gauze covers the surface until it is fully healed. 5. Exposure therapy is used for facial and vaginal facial creations, and new liquids for rehabilitation are painted once every three hours, reducing the number of times they are painted with the presence of the original. The treatment must be accompanied by routine care: innovation, cutting, resistance to infection and support for treatment。

While the second degree burns, especially those that are self-healed at large depths, are partially scattered at residual levels, with the same levels of deep burns cutting/skinning sometimes present, there are no good treatments available, which are treated clinically with wet dressings, impregnated antibiotics and other herbicides, but often with unsatisfactory results, recurrent ulcers, long-defunct cases, and sometimes patients are reluctant to undergo surgical treatment. The ideal drug treatment for burn trauma is both the control of infection and the promotion of upper skin growth and the acceleration of the healing of the surface, which is still being explored. Rehabilitating new liquids are pure chinese biological agents made of pure natural insect pharmacology, which have a variety of effects, such as acne and bruising. It can be used clinically for trauma, burns, fistula and scabies. Its active ingredient is beryllium, whose polyols contribute to the growth of skin cells and to the growth of sprouts, the elimination of oedema, the removal of creased tissues and the acceleration of facial restoration; and the improvement of microcircles, the improvement of local immunity and the promotion of burn healing. There has been a marked decrease in the use of rehab new liquid treatments, with a relatively rapid fall of degenerative tissues, a good growth of chromosomal tissues, fresher chromosomal tissues, faster growth of the upper skins, and a marked reduction in the healing time. In the later stages of self-healing after deep-pit burns are often blocked by glucose, hepatic, etc. That are left in the skin, which forms a small cystic bubble, which is formed by subsequent infections. Skin-planting is often leftovers due to thinning of the fresh skin and poor resistance to grinding, and some of the residuals are often subject to persistent infections, in particular of the pyrocococcus resistant to drugs. The clinical should therefore not ignore the overall cleanness of the creation, often combined with the use of methods such as showers and baths, which help to remove the crumbling tissue and reduce bacterial quantities. There is a need to combine the use of effective antibiotics for visible infections. Rehabilitating new liquids are easy to use and safe, with a marked stimulus; no damage to liver or kidney function and other toxic side effects have been observed。

Light burns

Light burns should be immersed in cold water as soon as possible. Chemical burns are washed for long periods of time with large quantities of water. In clinics or emergency rooms, all residues are removed using soap and water to clean the surface. If the stain is embedded deeper, it can be washed with a brush under local anesthesia. It's usually torn or easily broken. When the face is clean, antibiotic ointment such as sulfamide silver can be worn。

The frequent use of gauze has brought protection from contamination and further trauma. It was important to keep the face clean, because it was possible that the damage to the skin could start and spread easily. Antibiotics may help to prevent infection, but not necessarily all. If not vaccinated, tetanus toxoid should be injected。

Burning of upper or lower limbs should be kept a little higher than the heart in order to reduce the oedema. It is only possible to maintain this position in the hospital, where the parts of the bed can be raised and used to pull. In the case of a second degree or third degree burn in the joint, the joint must be fixed by a plywood and the joint activity can exacerbate the trauma. Many burn patients require analgesics, usually anaesthesia, for at least a few days。

Serious burns

Serious life-threatening burns require immediate treatment, preferably in hospitals with specialized burns. First aid personnel will use masks to provide oxygen to the wounded to mitigate the effects of carbon monoxide and toxic gases on the wounded in fires. In the emergency room, medical personnel should keep the wounded breathing well, check for additional life-threatening injuries and start recharging liquids and preventing infection. In some cases, severe burn patients need to be treated in high-pressure oxygen chambers, but this is not universally applied and must take place within 24 hours of the burn。

In case of fire, respiratory and lung burns, a trachea may be used to help breathe. The need for an intubation may be determined by factors such as the frequency of breathing, which is too fast or too slow to allow the lung to breathe effectively enough air and deliver sufficient oxygen into the blood. Intubation is required for facial burns or edema from the throat which affects breathing. In some cases, burning ash or nose hair was found in the nose and mouth of a burned person in a closed space or in a fire caused by an explosion, and intubation was also required in case of suspected respiratory burns. When breathing normally, oxygen masks are used to give oxygen。

When the face is cleaned, it is coated with antibiotic ointment or ointment; it is then covered with disinfectant bandages. Change the gauze two or three times a day. Depth burns can easily cause serious infections and should be intravenously imported into antibiotics. The need for tetanus toxoid is determined on the basis of previous immunization of the wounded。

Mass burns can cause loss of life-threatening body fluids, which must be supplemented by veins. Deep burns may cause protein urine to be found in the skeletal sphere, as it is released from an injured muscle to damage the kidneys. If the liquid is not replenished enough, it causes kidney failure。

The burned skin surface forms a thicker hard shell, known as tarmac, which gradually tightens the blood cycle that affects the surface. If the surface is around the upper or lower limbs, the condensation of the blood circulation by the coring can have serious consequences. The normal organization below the cathode should be cut。

If it is small (not greater than a coin), it can heal itself if it is kept clean and even deep burns. If the lower skin is damaged in large areas, it is often required to plant the skin. The pelts required for skin-planting can be taken from the unburned parts of the burn patient (self-planting), as well as from other living persons or bodies (sinkin-planting) or other types of animals (sinkin-planting), which are often pig skins because they are similar to human skins. Self-pumping is permanent, it is temporary in nature to be taken from other people or animals, and it is a measure taken to protect the face during the process of facial healing, and after 10 to 14 days it is physically excluded。

Physical and stationary therapy is often required to reduce scarring and retain function to the extent possible, and joints are fixed and maintained in functional position at the earliest possible stage to prevent excessive muscle and skin stress and constriction. Plugins are kept until they heal。

Prior to plastering, joint exercise is carried out using various methods to increase mobility and maintain normal joint activity. Following the pelvis implantation, the pellets were fixed for 5 to 10 days and the pelvis were successfully re-established。

During burn healing, patients consume more heat and nutrition. People who have difficulty eating can drink nutrients or feed with a nose-fed pipe。

Serious burns take a long time to heal, sometimes even a few years, and patients may become very frustrated. Most burn centres provide psychological support to such patients through social workers, psychiatrists and others。

Burn, name. Damage caused by boiling water (oil), light, fire, electricity, radiation or chemical substances in humans. See millennium wings, vol. 20. They are also known as scabs, soup burns, soup burns. Lightness usually does not affect the internal function, with only local red dizziness, acupuncture or decomposition; heavy damage results in a large and deep area of damage, a high level of fire, a high temperature of heat and poison and the depletion of the body's vagina. There are also signs of heat intruding, or haematological haemorrhage, which are clinically visible as thirst, heat, constipation, impotence or even irritation. The treatment of light people requires only extraterrestrial treatment, with an equal amount of land herbs, large yellows, a small amount of ice, and oil. It is useful to identify treatment, sympathic detoxification, cooling out of the camp, or firming up the air to venom, and to regenerate with yellow corrosive soup, rhinocerobic yellow soup, antelope hook soup, or screeching, cosmopolitan soup, etc., and, in the event of a prolonged illness, to regenerate the blood of a person who causes gas damage. Extraterritorial methods include the cleaning of scabies, the treatment of bubbles, the removal of coke or the planting of skin. The above-mentioned ointment can also be applied to the acne and should be treated in a timely manner in cases of serious illness。

Estimated area of burns:

China's nine-point method: based on the method of estimating the surface size of the human body, applicable to the assessment of large areas of burns, the total surface area of the body is divided into 11 equals, plus 1 per cent, constituting 100 per cent., i. E., the neck = 1 *9 per cent: two upper limbs = 2 *9 per cent; the torso = 3 * 9 per cent; two lower limbs = 5 * 9 + 1 per cent, a total of 11 * 9 + 1 per cent

Three degrees four

I°: observed angular layer

(b) light ii: a shallow layer of dynasty, partially nuanced

Depth ii: deep in the dynasty, with skin attachment residues

Iii°: up to the full skin layer, and even injuries to subcutaneous tissue, muscles and bones。

See

 
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