Goutos Ioannis, Nicholas Rebecca Spenser, Pandya Atisha A, Ghosh Sudip J
Department of Plastic and Reconstructive Surgery, Stoke Mandeville Hospital Bucks, UK.
Royal London Hospital Whitechapel, London, UK.
Int J Burns Trauma. 2015 Mar 20;5(1):1-12. eCollection 2015.
The number of diabetic patients presenting to burn services is predicted to increase significantly over the next decades. Diabetes mellitus represents an independent risk factor for sustaining burn injuries and mediates alterations to key physiological systems including the vascular, renal, nervous, gastrointestinal and immune system. The effects of the pathophysiological permutations need to be carefully considered during both the acute as well as the long-term rehabilitation phase of injury. The purpose of the first part of this review is to outline the metabolic permutations observed in diabetes mellitus pertinent to the clinical presentation and management of burn patients.
预计在未来几十年中，前往烧伤科就诊的糖尿病患者数量将显著增加。糖尿病是遭受烧伤的一个独立危险因素，会引起包括血管、肾脏、神经、胃肠道和免疫系统在内的关键生理系统发生改变。在损伤的急性期和长期康复阶段，都需要仔细考虑病理生理变化的影响。本综述第一部分的目的是概述糖尿病中与烧伤患者临床表现和管理相关的代谢变化。
