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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 features and prevention and treatment of burn wound complicated with sepsis. Methods: The clinical data of 40 cases of burn wound complicated with sepsis treated in our department from January 2007 to December 2012 were retrospectively analyzed. Results: 32 cases were cured and 8 died. CONCLUSIONS: Early stage burn in shock can lead to unstable sepsis caused by improper handling of wounds in the early stage of burn, preventing active and effective liquid resuscitation, early intestinal nutrition, enhancing metabolism and immune regulation, closing the wound as soon as possible and strengthening the protection of multiple organ functions Support and treatment Emphasize the comprehensive treatment strategy with wound treatment as the core. Surgical closure of deep wounds as soon as possible is the key to successful treatment.