32例创面侵袭性感染全身治疗的临床观察

本文探讨了32例烧伤并发创面侵袭性感染患者的全身治疗．本组中87．5％是延迟入院的患者，两个器官以上功能障碍19例。入院24小时内急诊手术19例，一次手术最大面积30％，连续二次手术切痂5例。死亡9例，死亡率28．1％。治疗原则：包括终未器官支持，保护细胞功能、营养支持和血管活性药物的应用，手术前后应用β-量子血，以及大量使用抗介质药物，并对治疗机理进行了探讨。

32 cases of invasive infection in burns were dealt with general tretment. Among them, 87. 5%were delayed to be hospitalized there were 19 cases with 2 and more organs damage. 19 cases were given emergent operation within 24 hours after being hospitalized with the maximum operation to cut the scabs; 9 cases died with mortality 28. 1 %. The treatment principles includeds: (1) end organ support; (2)cell function protection; (3)nutrition support; (4) active drugs of blood vessel and large dose of anti-medium drugs were used; (5) ultraviolet blood irradiation and oxygenation (UBIO) was given before and after the operation. The paper also gives a preliminaty theoratical discussion.