Deisz Robert, Kauczok Jens, Dembinski Rolf, Pallua Norbert, Marx Gernot
Klinik für Operative Intensivmedizin und Intermediate Care im Universitätsklinikum der RWTH Aachen, Germany.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2013 Jan;48(1):18-26; quiz 27. doi: 10.1055/s-0032-1333074. Epub 2013 Jan 30.
Critical care medicine in severely burned patients should be adapted to the different pathophysiological phases. Accordingly, surgical and non-surgical therapy must be coordinated adequately. Initial stabilization of the burn victim during the first 24 hours (Surgical therapy and critical care medicine in severely burned patients - Part 1: the first 24 ours, AINS 9/12) is followed by a long lasting reconstructive period. During this time calculated fluid replacement to compensate evaporative losses by large bourn wounds is as essential as reconstruction of the integrity of the skin and the modulation of metabolic consequences following severe burn injury. Special attention has to be paid to local and systemic infections.
重症烧伤患者的重症监护医学应适应不同的病理生理阶段。因此，手术治疗和非手术治疗必须充分协调。在烧伤患者的最初24小时内进行初步稳定处理（《重症烧伤患者的手术治疗与重症监护医学 - 第1部分：最初24小时，AINS 9/12》），随后是漫长的重建期。在此期间，通过计算液体补充量来补偿大面积烧伤创面的蒸发损失，与重建皮肤完整性以及调节严重烧伤后的代谢后果同样重要。必须特别关注局部和全身感染。
