最后审阅: 31 六月 2021
最后更新: 28 八月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 意识丧失
  • 入院前心肺复苏或除颤
  • 心动过速
  • 低血压
  • Glasgow 昏迷评分低
  • 烧伤
  • 身体损伤

其他诊断因素

  • 外周血管脉搏减弱以及毛细血管再充盈不良
  • 人体核心温度低
  • 意识模糊
  • 麻痹

危险因素

  • 年龄小于 6 岁
  • 建筑行业工人
  • 男性
  • 参加户外运动

诊断性检查

首要检查

  • 心电图(ECG
  • 全血细胞计数 (FBC
  • 电解质
  • 肝功能检查 (LFT)
  • 凝血功能检查
  • 肌酸激酶
  • 尿肌红蛋白
  • 心肌酶(肌酸激脢同工酶和肌钙蛋白
  • 毒理学筛查
  • 胸部 X 线检查(CXR

需考虑的检查

  • X 线平片检查
  • 头部 CT
  • 头部 MRI
  • 室间压力测量

治疗流程

急症处理

撰稿人

作者

Baljit Dheansa, MBBS, FRCS, MSc, FRCS (Plast)

Consultant Burns, Plastic & Reconstructive Surgeon

Honorary Senior Lecturer

Queen Victoria Hospital NHS Foundation Trust

West Sussex

UK

利益声明

BD receives reimbursement for his time as a member of the data monitoring committee for a trial using Nexobrid, a product used in treating burns.

Juan Enrique Berner, MD, MSc, MRCS

Senior Fellow in Plastic Surgery

Queen Victoria Hospital NHS Foundation Trust

West Sussex

UK

利益声明

JEB declares that he has no competing interests.

鸣谢

Mr Dheansa and Dr Berner would like to gratefully acknowledge Dr T Grant Phillips, a previous contributor to this topic. TGP declares that he has no competing interests.

同行评议者

Stephen J. Ritz, DO

UPMC St. Margaret Family Medicine Residency and Faculty Development Fellowship

Osteopathic Family Practice/Rotating Internship Program

Pittsburgh

PA

利益声明

SJR declares that he has no competing interests.

Catalina C. Ionita, MD

Assistant Professor of Neurology and Neurosurgery

SUNY

Buffalo

NY

利益声明

CCI declares that she has no competing interests.

Bernd Hartmann, MD

Chief Physician

Centre for Severe Burns Injuries with Plastic Surgery

Unfallkrankenhaus Berlin (Trauma Hospital Berlin)

Berlin

Germany

利益声明

BH declares that he has no competing interests.

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