Gianesello L, Pavoni V, Paparella L, Buoninsegni L Tadini, Gritti G
Department of Critical Medical-Surgical Area, Section of Anesthesia and Intensive Care, Florence, Italy.
Minerva Anestesiol. 2009 Sep;75(9):530-2. Epub 2009 Apr 6.
The authors describe the case of a 40-year-old female with severe burns (85% of total body surface area including the thorax) caused by thermal injury who presented mitral valve endocarditis during intensive care unit stay. Bacterial endocarditis represents a rare cause of fatal septicemia complicating thermal injury. The authors focus on diagnosis and on timing of surgical treatment.
作者描述了一名40岁女性的病例,该患者因热损伤导致严重烧伤(占体表面积的85%,包括胸部),在重症监护病房住院期间出现二尖瓣心内膜炎。细菌性心内膜炎是热损伤并发致命败血症的罕见原因。作者重点关注诊断和手术治疗的时机。