Department of Plastic and Hand Surgery, Burn Trauma Center, Bergmannstrost Hospital, Merseburger Str 165, 06112 Halle/Saale, Germany.
Intensive Care Med. 2010 Jan;36(1):22-32. doi: 10.1007/s00134-009-1659-1. Epub 2009 Sep 29.
Although severe cutaneous adverse reactions (SCARs), such as Stevens-Johnson syndrome and toxic epidermal necrolysis, are rare, they are associated with considerable morbidity and mortality.
The current knowledge regarding background, differential diagnoses, critical care and implications for inter-hospital emergency medical service (EMS) transport of these patients is discussed.
SCAR patients will substantially benefit from early interdisciplinary care and thorough consideration of complications during EMS transport and intensive care treatment.
虽然严重皮肤不良反应（SCARs），如史蒂文斯-约翰逊综合征和中毒性表皮坏死松解症，较为罕见，但它们与相当高的发病率和死亡率相关。
本文讨论了这些患者的背景、鉴别诊断、重症监护以及对院内间急救医疗服务（EMS）转运的影响。
SCAR 患者将从 EMS 转运和重症监护治疗期间的早期跨学科护理和对并发症的全面考虑中大大受益。
