\n
\u76ae\u819a\u79d1\u91ab\u751f<\/strong><\/p>\n\n\n\n\u4f60\u662f\u5426\u66fe\u7d93\u51fa\u73fe\u904e\u5c0d\u975e\u8655\u65b9\u85e5\u818f\u6c92\u6709\u53cd\u61c9\u7684\u76ae\u75b9\uff0c\u6216\u8005\u60a8\u64d4\u5fc3\u7684\u75e3\uff1f \u76ae\u819a\u79d1\u91ab\u751f\u6bcf\u5929\u90fd\u6703\u5e6b\u52a9\u60a3\u8005\u89e3\u6c7a\u6b64\u985e\u554f\u984c\u53ca\u66f4\u591a\u554f\u984c\u3002 \u76ae\u819a\u79d1\u91ab\u751f\u3014dermatologists\u3015<\/small>\u662f\u5c08\u9580\u8a3a\u65b7\u548c\u6cbb\u7642\u76ae\u819a\u75be\u75c5\u7684\u91ab\u751f\u3002 \u50cf\u6240\u6709\u91ab\u751f\u4e00\u6a23\uff0c\u76ae\u819a\u79d1\u91ab\u751f\u7372\u5f97\u91ab\u5b78\u5b78\u4f4d\uff0c\u7136\u5f8c\u5b8c\u6210\u5e7e\u5e74\u7684\u4f4f\u9662\u91ab\u5e2b\u57f9\u8a13\u3002 \u6b64\u5916\uff0c\u76ae\u819a\u79d1\u91ab\u751f\u9084\u53ef\u4ee5\u53c3\u52a0\u76ae\u819a\u75c5\u5b78\u734e\u5b78\u91d1\u6216\u5b8c\u6210\u76ae\u819a\u75c5\u5b78\u5be6\u8e10\u7684\u984d\u5916\u5c08\u696d\u57f9\u8a13\u3002 \u5982\u679c\u5728\u7f8e\u570b\u57f7\u696d\uff0c\u76ae\u819a\u79d1\u91ab\u751f\u5fc5\u9808\u901a\u904e\u7f8e\u570b\u91ab\u7642\u57f7\u7167\u8003\u8a66 (USMLE)\uff0c\u4ee5\u7372\u5f97\u5176\u57f7\u696d\u72c0\u614b\u7684\u57f7\u7167\uff0c\u4e26\u7372\u5f97\u7f8e\u570b\u76ae\u819a\u75c5\u5b78\u59d4\u54e1\u6703\u7684\u8a8d\u8b49\u3002<\/p>\n\n\n\n
\u5927\u591a\u6578\u76ae\u819a\u79d1\u91ab\u751f\u5728\u91ab\u7642\u8fa6\u516c\u5ba4\u6216\u79c1\u4eba\u8a3a\u6240\u5de5\u4f5c\u3002 \u4ed6\u5011\u8a3a\u65b7\u76ae\u819a\u72c0\u6cc1\u548c\u76ae\u75b9\uff0c\u958b\u51fa\u53e3\u670d\u548c\u5916\u7528\u85e5\u7269\u4f86\u6cbb\u7642\u76ae\u819a\u72c0\u6cc1\uff0c\u4e26\u53ef\u80fd\u9032\u884c\u7c21\u55ae\u7684\u624b\u8853\uff0c\u4f8b\u5982\u53bb\u9664\u75e3\u6216\u75a3\u3002 \u6b64\u5916\uff0c\u5982\u679c\u61f7\u7591\u76ae\u819a\u764c\u5df2\u8f49\u79fb\uff0c\u4ed6\u5011\u53ef\u80fd\u6703\u5c07\u60a3\u8005\u8f49\u8a3a\u7d66\u816b\u7624\u79d1\u91ab\u5e2b\u3014oncologist\u3015<\/small>\u3002 \u8fd1\u5e74\u4f86\uff0c\u7f8e\u5bb9\u624b\u8853\u4e5f\u5df2\u6210\u70ba\u76ae\u819a\u75c5\u5b78\u7684\u91cd\u8981\u7d44\u6210\u90e8\u5206\u3002 \u8089\u6bd2\u687f\u83cc\u6ce8\u5c04\u3014Botox injections\u3015<\/small>\u3001\u96f7\u5c04\u6cbb\u7642\u3014laser treatments\u3015<\/small>\u3001\u81a0\u539f\u86cb\u767d\u548c\u771f\u76ae\u586b\u5145\u5291\u6ce8\u5c04\u6df1\u53d7\u75c5\u4eba\u6b61\u8fce\uff0c\u5e0c\u671b\u80fd\u6e1b\u5c11\u76ae\u819a\u8001\u5316\u7684\u73fe\u8c61\u3002<\/p>\n\n\n\n
\u76ae\u819a\u79d1\u3014dermatology\u3015<\/small>\u662f\u91ab\u5b78\u9818\u57df\u7684\u4e00\u9580\u7af6\u722d\u6027\u5c08\u696d\u3002 \u76ae\u819a\u79d1\u4f4f\u9662\u91ab\u5e2b\u8a08\u756b\u7684\u7a7a\u7f3a\u6578\u91cf\u6709\u9650\uff0c\u9019\u610f\u5473\u8457\u8a31\u591a\u91ab\u5b78\u751f\u8981\u722d\u596a\u5e7e\u500b\u9078\u5b9a\u7684\u540d\u984d\u3002 \u76ae\u819a\u79d1\u5c0d\u8a31\u591a\u672a\u4f86\u7684\u91ab\u751f\u4f86\u8aaa\u662f\u4e00\u500b\u6709\u5438\u5f15\u529b\u7684\u5c08\u696d\uff0c\u56e0\u70ba\u8207\u6025\u8a3a\u5ba4\u91ab\u751f\u6216\u5916\u79d1\u91ab\u751f\u4e0d\u540c\uff0c\u76ae\u819a\u79d1\u91ab\u751f\u901a\u5e38\u4e0d\u9700\u8981\u8d85\u6642\u5de5\u4f5c\u6216\u5728\u5468\u672b\u548c\u5047\u65e5 \u201c\u96a8\u53eb\u96a8\u5230\u3014on-call\u3015<\/small>\u201d \u3002 \u6b64\u5916\uff0c\u7f8e\u5bb9\u76ae\u819a\u79d1\u7684\u666e\u53ca\u4f7f\u5176\u6210\u70ba\u4e00\u500b\u4e0d\u65b7\u767c\u5c55\u7684\u9818\u57df\uff0c\u4e26\u63d0\u4f9b\u8a31\u591a\u6709\u5229\u53ef\u5716\u7684\u6a5f\u6703\u3002 \u76ae\u819a\u79d1\u8a3a\u6240\u5c07\u81ea\u5df1\u5c08\u9580\u5ba3\u50b3\u70ba\u7f8e\u5bb9\u76ae\u819a\u79d1\u4e2d\u5fc3\uff0c\u800c\u76ae\u819a\u79d1\u91ab\u751f\u5c08\u9580\u5f9e\u4e8b\u9019\u4e9b\u624b\u8853\uff0c\u9019\u4e26\u4e0d\u7f55\u898b\u3002<\/p>\n\n\n\n
\u8003\u616e\u62dc\u8a2a\u76ae\u819a\u79d1\u91ab\u751f\uff0c\u8ac7\u8ac7\u301d\u4ed6\u5011\u70ba\u4ec0\u9ebc\u9032\u5165\u9019\u500b\u9818\u57df\u301e\u4ee5\u53ca\u301d\u76ae\u819a\u75c5\u5b78\u9818\u57df\u662f\u4ec0\u9ebc\u6a23\u7684\u301e\u3002<\/p>\n<\/div><\/div>\n\n\n\n
<\/div>\n\n\n\n
\u53d7\u50b7<\/h2>\n\n\n\n
\u56e0\u70ba\u76ae\u819a\u662f\u6211\u5011\u8eab\u9ad4\u6700\u76f4\u63a5\u63a5\u89f8\u4e16\u754c\u7684\u90e8\u5206\uff0c\u6240\u4ee5\u7279\u5225\u5bb9\u6613\u53d7\u50b7\u3002 \u50b7\u5bb3\u5305\u62ec\u71d2\u50b7\u548c\u50b7\u53e3\uff0c\u4ee5\u53ca\u75a4\u75d5\u548c\u8001\u7e6d\u3002 \u5b83\u5011\u53ef\u80fd\u662f\u7531\u5c16\u92b3\u7269\u9ad4\u3001\u71b1\u91cf\u3001\u76ae\u819a\u904e\u5ea6\u58d3\u529b\u6216\u6469\u64e6\u5f15\u8d77\u7684\u3002<\/span><\/p>\n\n\n\n\u76ae\u819a\u640d\u50b7\u5f15\u767c\u7684\u7652\u5408\u904e\u7a0b\u767c\u751f\u5728\u5e7e\u500b\u91cd\u758a\u7684\u968e\u6bb5\u3002 \u4fee\u5fa9\u53d7\u640d\u76ae\u819a\u7684\u7b2c\u4e00\u6b65\u662f\u5f62\u6210\u8840\u584a\uff0c\u96a8\u8457\u6642\u9593\u7684\u63a8\u79fb\uff0c\u8840\u584a\u6709\u52a9\u65bc\u963b\u6b62\u8840\u6db2\u6d41\u52d5\u548c\u7d50\u75c2\u3002 \u8a31\u591a\u4e0d\u540c\u985e\u578b\u7684\u7d30\u80de\u90fd\u53c3\u8207\u50b7\u53e3\u4fee\u5fa9\uff0c\u7279\u5225\u662f\u7576\u9700\u8981\u4fee\u5fa9\u7684\u8868\u9762\u7a4d\u5f88\u5927\u6642\u3002 \u5728\u57fa\u5e95\u5c64\u7684\u57fa\u5e95\u5e79\u7d30\u80de\u80fd\u5920\u91cd\u5efa\u8868\u76ae\u4e4b\u524d\uff0c\u7e96\u7dad\u6bcd\u7d30\u80de\u8fc5\u901f\u52d5\u54e1\u4e26\u5206\u88c2\uff0c\u900f\u904e\u81a0\u539f\u86cb\u767d\u6c89\u7a4d\u4fee\u5fa9\u53d7\u640d\u7d44\u7e54\uff0c\u5f62\u6210\u8089\u82bd\u7d44\u7e54\u3014granulation tissue\u3015<\/small>\u3002 \u6bdb\u7d30\u8840\u7ba1\u8ddf\u96a8\u7e96\u7dad\u6bcd\u7d30\u80de\uff0c\u6709\u52a9\u65bc\u589e\u52a0\u8a72\u5340\u57df\u7684\u8840\u6db2\u5faa\u74b0\u548c\u6c27\u6c23\u4f9b\u61c9\u3002 \u514d\u75ab\u7d30\u80de\uff08\u5982\u5de8\u566c\u7d30\u80de\uff09\u5728\u8a72\u5340\u57df\u6f2b\u904a\u4f75\u541e\u566c\u4efb\u4f55\u7570\u7269\uff0c\u4ee5\u6e1b\u5c11\u611f\u67d3\u7684\u6a5f\u6703\u3002<\/p>\n\n\n\n\u71d2\u50b7<\/h3>\n\n\n\n
\u7576\u76ae\u819a\u53d7\u5230\u9ad8\u6eab\u3001\u8f3b\u5c04\u3001\u96fb\u529b\u6216\u5316\u5b78\u7269\u8cea\u640d\u50b7\u6642\uff0c\u5c31\u6703\u767c\u751f\u71d2\u50b7<\/strong>\u3014burn\u3015<\/small>\u3002 \u9019\u7a2e\u640d\u50b7\u6703\u5c0e\u81f4\u76ae\u819a\u7d30\u80de\u6b7b\u4ea1\uff0c\u9032\u800c\u5c0e\u81f4\u9ad4\u6db2\u5927\u91cf\u6d41\u5931\u3002 \u96a8\u4e4b\u800c\u4f86\u7684\u662f\u812b\u6c34\u3001\u96fb\u89e3\u8cea\u5931\u8861\u4ee5\u53ca\u814e\u8870\u7aed\u548c\u5faa\u74b0\u8870\u7aed\uff0c\u9019\u53ef\u80fd\u662f\u81f4\u547d\u7684\u3002<\/span> \u71d2\u50b7\u60a3\u8005\u63a5\u53d7\u975c\u8108\u8f38\u6db2\u6cbb\u7642\u3014intravenous fluids\u3015<\/small>\u4ee5\u62b5\u6d88\u812b\u6c34\uff0c\u4e26\u63a5\u53d7\u975c\u8108\u71df\u990a\u7269\u8cea\u6cbb\u7642\u3014intravenous nutrients\u3015<\/small>\uff0c\u4f7f\u8eab\u9ad4\u80fd\u5920\u4fee\u5fa9\u7d44\u7e54\u4e26\u88dc\u5145\u6d41\u5931\u7684\u86cb\u767d\u8cea\u3002 \u5c0d\u71d2\u50b7\u60a3\u8005\u751f\u547d\u7684\u53e6\u4e00\u500b\u56b4\u91cd\u5a01\u8105\u662f\u611f\u67d3\u3002 \u7531\u65bc\u5931\u53bb\u5b8c\u6574\u76ae\u819a\u5c64\u7684\u4fdd\u8b77\uff0c\u71d2\u50b7\u7684\u76ae\u819a\u6975\u6613\u53d7\u5230\u7d30\u83cc\u548c\u5176\u4ed6\u75c5\u539f\u9ad4\u7684\u611f\u67d3\u3002<\/p>\n\n\n\n\u71d2\u50b7\u6709\u6642\u6703\u6839\u64da\u53d7\u5f71\u97ff\u7684\u7e3d\u8868\u9762\u7a4d\u7684\u5927\u5c0f\u4f86\u8861\u91cf\u3002 \u9019\u88ab\u7a31\u70ba \u201c\u4e5d\u5247\u8a08\u7b97\u6cd5<\/strong>\u3014rule of nines\u3015<\/small>\u201d\uff0c\u5b83\u5c07\u7279\u5b9a\u7684\u89e3\u5256\u5340\u57df\u8207\u4e5d\u7684\u767e\u5206\u6bd4\u76f8\u95dc\u806f<\/span>\uff08\u5716 5.23\uff09\u3002 \u71d2\u50b7\u4e5f\u6839\u64da\u5176\u56b4\u91cd\u7a0b\u5ea6\u9032\u884c\u5206\u985e\u3002 \u4e00\u5ea6\u71d2\u50b7<\/strong>\u3014first-degree burn\u3015<\/small>\u662f\u50c5\u5f71\u97ff\u8868\u76ae\u7684\u6dfa\u5c64\u71d2\u50b7\u3002 \u5118\u7ba1\u76ae\u819a\u53ef\u80fd\u6703\u75bc\u75db\u548c\u816b\u8139\uff0c\u4f46\u9019\u4e9b\u71d2\u50b7\u901a\u5e38\u6703\u5728\u5e7e\u5929\u5167\u81ea\u884c\u7652\u5408\u3002 \u8f15\u5ea6\u66ec\u50b7\u5c6c\u65bc\u4e00\u5ea6\u71d2\u50b7\u7684\u7bc4\u7587\u3002 \u4e8c\u5ea6\u71d2\u50b7<\/strong>\u3014second-degree burn\u3015<\/small>\u6703\u66f4\u6df1\uff0c\u5f71\u97ff\u8868\u76ae\u548c\u90e8\u5206\u771f\u76ae\u3002 \u9019\u4e9b\u71d2\u50b7\u6703\u5c0e\u81f4\u76ae\u819a\u816b\u8139\u548c\u75bc\u75db\u7684\u6c34\u6ce1\u3002 \u4fdd\u6301\u71d2\u50b7\u90e8\u4f4d\u6e05\u6f54\u548c\u7121\u83cc\u4ee5\u9632\u6b62\u611f\u67d3\u975e\u5e38\u91cd\u8981\u3002 \u5982\u679c\u9019\u6a23\u505a\uff0c\u71d2\u50b7\u5c07\u5728\u5e7e\u9031\u5167\u75ca\u7652\u3002 \u4e09\u5ea6\u71d2\u50b7<\/strong>\u3014third-degree burn\u3015<\/small>\u5b8c\u5168\u5ef6\u4f38\u5230\u8868\u76ae\u548c\u771f\u76ae\uff0c\u7834\u58de\u7d44\u7e54\u4e26\u5f71\u97ff\u795e\u7d93\u672b\u68a2\u548c\u611f\u89ba\u529f\u80fd\u3002 \u9019\u4e9b\u662f\u56b4\u91cd\u71d2\u50b7\uff0c\u53ef\u80fd\u5448\u73fe\u767d\u8272\u3001\u7d05\u8272\u6216\u9ed1\u8272\uff1b \u5b83\u5011\u9700\u8981\u91ab\u7642\u8b77\u7406\uff0c\u5982\u679c\u6c92\u6709\u91ab\u7642\u8b77\u7406\uff0c\u5b83\u5011\u5eb7\u5fa9\u6703\u5f88\u7de9\u6162\u3002 \u56db\u5ea6\u71d2\u50b7<\/strong>\u3014fourth-degree burn\u3015<\/small>\u751a\u81f3\u66f4\u56b4\u91cd\uff0c\u5f71\u97ff\u5e95\u4e0b\u7684\u808c\u8089\u548c\u9aa8\u9abc\u3002 \u5947\u602a\u7684\u662f\uff0c\u4e09\u5ea6\u548c\u56db\u5ea6\u71d2\u50b7\u901a\u5e38\u4e0d\u6703\u90a3\u9ebc\u75db\u82e6\uff0c\u56e0\u70ba\u795e\u7d93\u672b\u68a2\u672c\u8eab\u53d7\u640d\u3002 \u5168\u76ae\u5c64\u71d2\u50b7<\/strong>\u3014Full-thickness burns\u3015<\/small>\u7121\u6cd5\u7531\u8eab\u9ad4\u4fee\u5fa9\uff0c\u56e0\u70ba\u7528\u65bc\u4fee\u5fa9\u7684\u5c40\u90e8\u7d44\u7e54\u53d7\u640d\uff0c\u9700\u8981\u5207\u9664\uff08\u6e05\u5275\u3014debridement\u3015<\/small>\uff09\uff0c\u56b4\u91cd\u6642\u9700\u8981\u622a\u80a2\uff0c\u7136\u5f8c\u5f9e\u8eab\u9ad4\u672a\u53d7\u5f71\u97ff\u7684\u90e8\u4f4d\u79fb\u690d\u76ae\u819a\uff0c\u6216\u5f9e\u76ae\u819a\u4e0a\u79fb\u690d\u5728\u7d44\u7e54\u57f9\u990a\u4e2d\u751f\u9577\u4ee5\u7528\u65bc\u5ac1\u63a5\u76ee\u7684\u3002<\/p>\n\n\n\n<\/div>\n\n\n\n