重度烧伤并发脓毒症26例临床分析

Severe burn sepsis clinical analysis of 26 cases

目的探讨重度烧伤患者并发脓毒症的临床治疗及发病病因。方法选择我院2004年4月-2009年1月收治重度烧伤患者并发脓毒症26例的临床资料进行分析。结果26烧伤后并发脓毒症的病因见，其中以创面感染为主，占50．00％。其余常见的病因为吸人性损伤、肺部感染、导管感染等，其发生率分别为19．23％、15．39＆、11．54％、3．84％。26例重度烧伤患者并发脓毒症23例治愈，3例死亡，其中1例因消化道出血致死，2例死于肾功能衰竭。结论烧伤后并发脓毒症的治疗应采取综合措施，如抗休克、防感染。包括早期、快速的液体复苏及早期甚至休克期削（切）痂；使用细胞保护剂，尽早经肠喂养；合理利用抗生素，预防感染；给予营养对症支持及免疫治疗等，以治疗烧伤，预防脓毒症的形成为主。

Objective To study the patients with severe burns complicated by sepsis cause of the clinical treatment and morbidity. Methods in our hospital in April 2004 - 2009 years, 1 month in patients with severe burns treated 26 eases of sepsis complicated the clinical data for analysis. Results 26 after burn complicated by sepsis cause, see, of which wound infection, accounting for 50.00%. The rest of the eommon diseases due to inhalation injury, lung infection, catheter infection, and its incidence rate was 19.23% 15.39 ＆,11.54%, 3.84%. 26 cases of severe burn patients with sepsis in 23 eases cured, 3 deaths, 1 case of death due to gastrointestinal bleeding, 2 patients died of renal failure. Conclusion after burn complicated by sepsis treatment should adopt comprehensive measures, sueh as anti - shock, anti - infection. Including early and rapid fluid resuscitation and early period of shock and even eut （ cut ） scab; the use of cell protective agent, as soon as possible through the intestinal feeding; rational use of antibiotics to prevent infection; provide nutritional support and immune symptomatic treatment for the treatment of burns, prevention of pus mainly the formation of thyrotoxieosis.