1.Inflammasome and its role in immunological and inflammatory response at early stage of burns.
Fang ZHANG ; Jiahui LI ; Zhaofan XIA
Chinese Journal of Burns 2014;30(3):261-264
Inflammasomes are large multi-protein complexes that serve as a platform for caspase-1 activation, and this process induces subsequent maturation and secretion of the proinflammatory cytokines IL-1β and IL-18, as well as pyroptosis. As an important component of the innate immune system, early activation of inflammasomes in a variety of immune cell subsets can mediate inflammatory response and immunological conditions after burn injury. Here, we review the current knowledge of inflammasomes and its role in immunological and inflammatory response at the early stage of burn injury.
Apoptosis
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Burns
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immunology
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Caspase 1
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metabolism
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Cytokines
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Humans
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Inflammasomes
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physiology
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Inflammation Mediators
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immunology
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Interleukin-18
;
immunology
;
physiology
;
Interleukin-1beta
;
immunology
;
physiology
2.Debridement of burn wounds using a hydrosurgery system.
Chen GONG ; Kaiyang LYU ; Guangyi WANG ; Guangqing WANG ; Shihui ZHU ; Zhaofan XIA ; Email: XIAZHAOFAN@163.COM.
Chinese Journal of Burns 2015;31(6):470-472
The healing process of burn wounds is strongly associated with the depth of wounds, and the depth of wounds is dependent to initial temperature and duration of contact with source of heat, infection, and secondary damage in the debridement process. On this basis, some experts present a concept of accurate debridement, which denotes removal of all necrotic tissue and at the same time protecting viable tissue for repair of raw wounds in order to maximally maintain patients' appearance and functions. A new technology of burn wound debridement--hydrosurgery system has been applied clinically. This paper summarizes the characteristics of hydrosurgery in the aspects of its technology, suitable wounds, bacterial load, amount of blood loss, and degree of pain produced during operation, and also the author's opinions regarding its efficacy to realize an accurate debridement for burn injury.
Burns
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pathology
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surgery
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Debridement
;
methods
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Humans
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Necrosis
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Surgical Wound Infection
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Treatment Outcome
;
Wound Healing
3.Advances in the research of clinical features and treatment of ammonia burns.
Guosheng WU ; Shichu XIAO ; Yu SUN ; Shizhao JI ; Zhaofan XIA
Chinese Journal of Burns 2015;31(1):76-78
Ammonia is commonly used in industry and agriculture. It is also one of the most frequently accidentally spilled chemicals. Exposure to ammonia can cause severe cutaneous burn or freezing injury, ocular injury, and inhalation injury, among them inhalation injury is the most lethal one. Although the diagnosis and treatment of ammonia burns have been improved, the long-term prognosis is not satisfactory. In this article, we reviewed the literature concerning ammonia burns, in order to summarize the clinical features and treatment of such injury.
Ammonia
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adverse effects
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Burns, Chemical
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etiology
;
physiopathology
;
therapy
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Burns, Inhalation
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Humans
;
Inhalation Exposure
;
adverse effects
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Prognosis