Review, impact, and future of severe and extra-severe burn treatment in China

Qiangqiang Shang, Ran An, Ling-feng Wang, Quan Li, S. Cao, Biao Zhou
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Abstract

China began using the colored liquid from tea and tincture to treat burns as early as the sixth century B.C., and records of Chinese medicine for the rescue and treatment of burns date from the Jin Dynasty to the Ming and Qing Dynasties. Modern burn treatment medicine in China began in 1958 when national steel production began. Since then, burn patients have increased dramatically, independent burn departments have been established nationwide, and burn surgery has moved into technological development. With the combined efforts of several generations of burn medical workers in China, the clinical treatment of severe and extra-severe burns has steadily increased. Many fields, such as burn shock prevention and treatment, wound repair, and sepsis, have become world leaders in the 21st century, forming a treatment technology and theoretical system with distinctive Chinese characteristics. Burn medical professionals have conducted numerous clinical and fundamental experimental studies, founded the Burns Surgery Branch of the Chinese Medical Association, established academic journals, and successfully established China Burn Treatment Program. The advancement of science and technology has promoted the development of modern medicine, and 3D virtual reality technology, 3D printing technology, organoid culture, and tissue engineering skin have demonstrated potential advantages and excellent application prospects in the treatment of severe burns, providing new ideas and directions for the discipline’s development. In the new journey of development and reform, we should continue to strengthen the systematic construction of the discipline, enhance the innovative treatment capability, and create further triumph.
中国重度和特重度烧伤治疗的回顾、影响和未来
早在公元前6世纪,中国就开始使用茶和酊剂中的有色液体来治疗烧伤,而中医治疗烧伤的记录可以追溯到金朝到明清时期。中国的现代烧伤治疗医学始于1958年,当时全国开始生产钢铁。从那时起,烧伤患者急剧增加,全国范围内建立了独立的烧伤科,烧伤手术进入了技术发展阶段。在中国几代烧伤医务工作者的共同努力下,重症和特重型烧伤的临床治疗不断增加。烧伤休克防治、创面修复、脓毒症等多个领域在21世纪已处于世界领先地位,形成了具有鲜明中国特色的治疗技术和理论体系。烧伤医学专业人员开展了大量的临床和基础实验研究,成立了中华医学会烧伤外科分会,创办了学术期刊,成功创办了中国烧伤治疗计划。科学技术的进步促进了现代医学的发展,3D虚拟现实技术、3D打印技术、类器官培养、组织工程皮肤等在严重烧伤的治疗中显示出潜在的优势和良好的应用前景,为该学科的发展提供了新的思路和方向。在发展改革的新征程中,我们要继续加强学科体系建设,增强创新救治能力,再创佳绩。
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