摘要
目的:探讨小儿烧伤创面脓毒血症的发病原因、临床特点和治疗方案。方法:对21例烧伤后并发创面脓毒血症小儿病例进行回顾性分析。结果:18例治愈,3例死亡。病人具有烧伤创面大,早期休克期度过不平稳,创面均有不良用药,严重的营养低下,胃肠道症状突出,创面感染菌以绿脓杆菌为主和多伴有多脏器功能不全等特点。结论:小儿创面脓毒症病情复杂,并发症多。创面不良用药和早期休克期度过不良是发生创面脓毒症的关键,而肠源性感染可能也是重要的因素。治疗中要强调营养支持、抗感染和脏器功能扶持的综合治疗,尽早封闭创面是治疗中关键一环。
To investigate the pathogenesis of burn wound sepsis in children, clinical character and proper management. Methods: A retrospective analysis was used for 21 children with burn wound sepsis. Results: 18 cases of them were cured. The rest 3 cases died. All these patients appeared the clinical character of large total burned surface area, unsuccessful resuscitation, unstable medication on burn wound, severe undernutrition, obvious gastrointestinal tract complications, predominan bacillus pyocyaneus infection on the wound and high incidence of multiple organ dysfunctional syndrome. Conclusion: A very complicated situation in children with burn wound sepsis could be found and the complication occurred subsequently. Unsuccessful resuscitation in early shock period, unfit medication on burn wound were the major reason of children with burn wound sepsis, enterogenic infection was the other cause. The perfect comprehensive management including enough nutrition supporting treatment, powerful broad spectrum anti-infection drugs and enough organ function support should be emphasized. The committed step was to cover the burn wounds as soon as possible.
出处
《伤残医学杂志》
2003年第4期10-12,共3页
Medical Journal of Trauma and Disability
