支持对烧伤损伤的代谢反应
David N Herndon1, Ronald G Tompkins
1Shriners Hospital for Children, 815 Market Street, Galveston, TX 77550, USA. dherndon@utmb.edu
Lancet (London, England)
|June 9, 2004
概括
严重的烧伤会导致长时间的代谢障碍. 有效的策略包括早期的伤口护理,营养支持,炼和像牛类药物这样的合成代谢剂,以保护瘦体质量.
科学领域:
- 代谢障碍和康复科学.
背景情况:
- 严重的烧伤会导致长时间的代谢障碍,包括代谢,阻碍患者的康复和社会重新融入.
- 有效的管理策略对于减轻这些长期影响至关重要.
研究的目的:
- 概述有效的合成代谢策略,用于管理严重烧伤.
- 确定具有成本效益和低毒性的药理疗法,以最大限度地减少瘦体质量损失.
主要方法:
- 对严重烧伤的已确立和替代的合成体/抗合成体策略的审查.
- 对药理学药物的有效性和安全性进行评估.
主要成果:
- 非药理学策略包括早期的伤口切除/移植,败血症管理,热环境控制,高热量/蛋白质肠道营养和运动.
- 药理选择包括合成代谢剂 (复合人体生长激素,胰岛素,牛津) 和抗代谢药物 (propranolol).
- 持续低剂量胰岛素输注,普拉诺洛尔和牛津罗龙被确定为最具成本效益和最少毒性的药理疗法.
结论:
- 结合手术,营养,环境和以运动为基础的干预措施对于管理严重烧伤的伤害至关重要.
- 药理干预措施,特别是胰岛素,普拉诺洛尔和牛类激素,为保持瘦体质量提供了有效和安全的辅助措施.
相关概念视频
Overview of Regeneration and Repair
Regeneration and repair processes are critical in healing damages caused by injury, disease, and aging. In regeneration, the damaged tissue is entirely replaced with new growth that restores the original architecture and function. In contrast, tissue repair usually results in a fixed tissue architecture involving scar formation. Scars generally do not reestablish tissue function and may also exhibit structural abnormalities at the injury site.
Regeneration
All animals have varying degrees of...
Regeneration
All animals have varying degrees of...
Phases of Wound Repair
Following injury, the integrity of the injured tissues must be reestablished. For example, in skin tissue, wound repair involves coordination among resident skin cells, blood mononuclear cells, extracellular matrix, growth factors, and cytokines to complete the healing cascade.
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Inflammatory Response
An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Cellular Injury I: Introduction
Cellular injury occurs when a cell cannot maintain homeostasis or adapt to stressors such as hypoxia, toxins, or trauma. Depending on severity and duration, injury may be reversible, allowing recovery, or irreversible, leading to cell death.General Mechanisms of Cell InjuryAlthough causes vary, most cellular injuries arise from a few key mechanisms that disrupt essential functions and often amplify one another. Cell survival depends on the extent and balance of these disturbances.ATP depletion...
Healing I: Introduction
Healing is the physiological process by which the body restores the integrity and function of damaged tissues following injury. It involves a coordinated interplay of cellular proliferation, extracellular matrix remodeling, and growth factor signaling. The extent and nature of the tissue damage determine whether healing occurs by resolution, regeneration, or replacement.ResolutionResolution represents the most complete form of healing, occurring when the injury is minimal and tissue...


