小儿烧伤患者的脓毒症
Sepsis in pediatric burn patients.
作者信息
Sheridan Robert L
机构信息
Department of Surgery, Division of Burns, Shriners Hospital for Children, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
Pediatr Crit Care Med. 2005 May;6(3 Suppl):S112-9. doi: 10.1097/01.PCC.0000161577.27849.BE.
OBJECTIVE
To review the specific infections common in pediatric burns, including their categorization, diagnosis, and treatment.
DESIGN
Review of the literature and expert opinion.
RESULTS
Children with serious burns are prone to a host of septic complications. This proclivity to infection is secondary to the immunosuppressive effect of burn injury, the loss of the skin and mucosal physical barriers, and the requirement for invasive support devices.
CONCLUSION
Sepsis is common in the pediatric burn patient and can markedly increase morbidity and mortality. Anticipation, prompt diagnosis of infection, and effective therapy can result in successful outcomes for many of these children.
目的
回顾小儿烧伤中常见的特定感染，包括其分类、诊断和治疗。
设计
文献综述和专家意见。
结果
严重烧伤的儿童易发生一系列脓毒症并发症。这种感染倾向继发于烧伤损伤的免疫抑制作用、皮肤和黏膜物理屏障的丧失以及对侵入性支持设备的需求。
结论
脓毒症在小儿烧伤患者中很常见，可显著增加发病率和死亡率。早期预判、及时诊断感染并进行有效治疗可使许多此类儿童获得成功预后。
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