大面积烧伤合并创面脓毒症40例临床分析

摘要

目的：总结烧伤合并创面脓毒症的临床特点和防治措施。方法：回顾性分析我科2007年1月至2012年12月收治的烧伤合并创面脓毒症40例的临床资料。结果：治愈32例，死亡8例。结论：烧伤早期休克渡过不平稳及创面早期处理不当易致创面脓毒症，预防强调积极有效的液体复苏、早期肠道营养、加强代谢与免疫调理、尽早封闭创面及加强多器官功能保护与支持，治疗强调以创面处理为核心的综合治疗策略，尽早手术覆盖封闭深度创面是救治成功的关键。%Objective:To summarize the clinical characteristics , preventive and treatment measures of burn combined wound sepsis. Methods: The clinical data of 40 patients with massive burn combined wound sepsis were analyzed from Jan 2007 to Dec 2012. Results: 32 cases were cured and 8 cases died. Conclusion: Early unstable burn shock and improper wound treatment may cause wound sepsis. It was very important for prevention of burn wound sepsis to strengthen proper fluid resuscitation , positive and effective early enteral nutrition , and eary wound closure as soon as possible,immune regulation, and the protection and support of multiple organ function;Comprehensive therapy strategy to wound burn sepsis was the core management , and the operation of covering depth wound as soon as possible was the key to treat burn wound sepsis successly.