烧伤腹泻131例临床分析

CLINICAL ANALYSIS OF 131 CASES OF POSTBURN DIARRHEA

烧伤腹泻文献报道较少。我科在过去31年(1958—1989)中收治131例,占总收容数(10823例)1.21％。归因分析:菌痢8例(6.1％),感染性腹泻7例(5.34％),肠道菌群失调35例(26.72％),难辨菌肠炎27例(20.61％),余54例(41.22％)临床表现与肠道菌群失调和难辨菌肠炎相似,但实验检查不完整。本文对烧伤腹泻的诊断要点和防治进行了讨论。

There is a small number of papers dealing with postburn diarrhea so far We had reatoci 131 cases of postburn diarrhea (1.21 % of the total 10823 cases) in the past 31 years (1958-1989). The etiology analysis showed there were 8 cases (6.1 %) with dysentery, 7 cases (5.34%) with in-fectious diarrhea, 35 cases (26.72%) with altera-tion of intestinal florea, 27 cases (20.61 %) with enteritis due to bacterial infections difficult to identify and 54 cases (41.22%) with their clinical manifestations similar to those of alteration of intestinal florea or enteritis due to bacterial infections difficult to identify, but the laboratory examinations had not been done completely. In this paper, the essential points for diagnosis and prevention and treatment of postburn diarrhea are described.