烧伤患者早期肠源性感染的临床分析

Clinical analysis of enteric infection in early stage of patients with burn

目的探讨烧伤患者早期肠源性感染的临床治疗方法及效果。方法对本院收治的烧伤患者中40例早期肠源性感染患者实施补液复苏治疗、细胞保护治疗、抗感染治疗和营养支持治疗等,观察患者的临床症状变化和进行疗效评价。结果经治疗,多数患者体温不同程度改善,高热患者改善率为73.68%,中热患者改善率为72.72%,低热患者改善率为70.00%,总改善率为72.5%;患者灼伤创面渗出液较多、红肿、疼痛及精神不佳等均有不同程度改善;痊愈患者23例,治愈率为57.50%,死亡患者4例,死亡率为10.00%。结论采取针对性方案治疗烧伤患者早期肠源性感染临床疗效显著,其中抗感染治疗是关键。

Objective To discuss the clinical therapeutic methods and effect of enteric infection in early stage of pa- tients with burn. Methods 40 patients with enteric infection in early-stage among patients with burn admitted into our hospital were provided with the treatment of fluid replacement for resuscitation,cytoprotection,anti-infective and nutri- tion support.The changes of clinical manifestations were observed and the curative effect was evaluated. Results After treatment,the body temperature in most participants were improved at varying degrees.The improvement rate in patients with high,moderate,low-grade fever was 73.68%, 72.72%, and 70.00% respectively,and the total improvement rate reached 72.50%.Symptoms like wound exudate,swelling,pain and poor mental state in patients with burn were bettered at different degrees;23 patients were cured,the cure rate was 57.50%,4 patients died and the mortality was 10.00%. Conclusion The targeted therapy was conducted to treat enteric infection in early stage among patients with burn can obtain a remarkable effect,of which the anti-infective therapy is most important.