Nunez Lopez Omar, Cambiaso-Daniel Janos, Branski Ludwik K, Norbury William B, Herndon David N
Department of Surgery, University of Texas Medical Branch.
Shriners Hospitals for Children, Galveston, TX, USA.
Ther Clin Risk Manag. 2017 Aug 29;13:1107-1117. doi: 10.2147/TCRM.S119938. eCollection 2017.
Modern burn care has led to unprecedented survival rates in burn patients whose injuries were fatal a few decades ago. Along with improved survival, new challenges have emerged in the management of burn patients. Infections top the list of the most common complication after burns, and sepsis is the leading cause of death in both adult and pediatric burn patients. The diagnosis and management of sepsis in burns is complex as a tremendous hypermetabolic response secondary to burn injury can be superimposed on systemic infection, leading to organ dysfunction. The management of a septic burn patient represents a challenging scenario that is commonly encountered by providers caring for burn patients despite preventive efforts. Here, we discuss the current perspectives in the diagnosis and treatment of sepsis and septic shock in burn patients.
现代烧伤护理使烧伤患者的存活率达到了前所未有的水平，而在几十年前，这些患者的损伤往往是致命的。随着存活率的提高，烧伤患者的管理也出现了新的挑战。感染是烧伤后最常见的并发症，脓毒症是成人和儿童烧伤患者死亡的主要原因。烧伤后脓毒症的诊断和管理很复杂，因为烧伤引起的巨大高代谢反应可能叠加在全身感染上，导致器官功能障碍。尽管采取了预防措施，但脓毒症烧伤患者的管理仍是烧伤护理人员常遇到的具有挑战性的情况。在此，我们讨论烧伤患者脓毒症和脓毒性休克诊断与治疗的当前观点。
