摘要
大面积深度烧伤患者２９例，其中休克期切痂组１４例，９６小时后切痂组１５例。两组分别于切痂前及切痂后３、７、１４和２１天检测血内毒素和肿瘤坏死因子，分析其脓毒症发生率与痂下组织细菌量，并对比两组患者的临床表现。结果表明对大面积深度烧伤患者开展休克期切痂植皮有助于控制或减轻感染并发症。在没有休克的前提下，切痂愈早愈能减少感染的威胁。
AbstractAmong 29 patients with extensive burn,14 re-ceived escharectomy during the shock period,and theother 15 after 96 hrs. LPS and TNF were determinedbefore and after escharectomv 3,7,14 and 21 PBD. In-cidence of sepsis and subeschar bacterial count wereanalyzed.Clinical conditions were compared.The re-sults showed that escharectomy during burn shockstage significantly reduced infectious complications inextensively burned patients. We believe that as long asgeneral condition of the patient allowed,early removalof eschar was beneficial in reducing the threat of sep-sis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第7期406-408,共3页
Chinese Journal of Surgery
