特重度烧伤并发双肺侵袭性真菌感染1例报告

A Case Report of Extremely Severe Burn Complicated with Invasive Fungal Infection of Both Lungs

对2017年10月威海市立医院烧伤整形外科收治的1例特重度烧伤并发双肺侵袭性真菌感染患者,在补液抗休克、气管切开、抗感染、提高免疫力、营养支持等全身综合治疗及湿化气道、机械通气等护理的同时,创面予以磺胺嘧啶银及辐照猪皮覆盖治疗。治疗第21天,患者感染得到控制,创面明显缩小。

One patient with extremely severe burn injury complicated with invasive fungal infection of both lungs,admitted to the Department of Burns and Plastic Surgery of Weihai Municipal Hospital in October 2017,was reported in this study.In addition to systemic comprehensive treatments like shock prevention with fluid resuscitation,tracheotomy,anti-infection,immunity improvement and nutrition support,and nursing measures like airway humidification and mechanical ventilation,the burn wounds were treated with Silver Sulfadiazine and irradiated pigskin graft.On day 21 of treatment,the infection was under control and the wound area reduced significantly.