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重症监护病房皮肤病的临床表现概述:重症监护医生应注意什么?

An Overview of Clinical Manifestations of Dermatological Disorders in Intensive Care Units: What Should Intensivists Be Aware of?

作者信息

Al Bshabshe Ali, Mousa Wesam F, Nor El-Dein Nashwa

机构信息

Department of Medicine/Adult Critical Care, King Khalid University, Abha 61413, Saudi Arabia.

College of Medicine, Tanta University, Tanta 31512, Egypt.

出版信息

Diagnostics (Basel). 2023 Mar 29;13(7):1290. doi: 10.3390/diagnostics13071290.

Abstract

Acute skin failure is rarely the primary diagnosis that necessitates admission to an intensive care unit. Dermatological manifestations in critically ill patients, on the other hand, are relatively common and can be used to make a key diagnosis of an adverse drug reaction or an underlying systemic illness, or they may be caused by factors related to a prolonged stay or invasive procedures. In intensive care units, their classification is based on the aetiopathogenesis of the cutaneous lesion and, in the meantime, distinguishes critical patients. When evaluating dermatological manifestations, several factors must be considered: onset, morphology, distribution, and associated symptoms and signs. This review depicts dermatological signs in critical patients in order to lay out better recognition.

摘要

急性皮肤衰竭很少是需要入住重症监护病房的主要诊断。另一方面,重症患者的皮肤表现相对常见,可用于对药物不良反应或潜在全身性疾病进行关键诊断,或者它们可能由与长期住院或侵入性操作相关的因素引起。在重症监护病房,其分类基于皮肤病变的病因发病机制,同时区分重症患者。在评估皮肤表现时,必须考虑几个因素:发病、形态、分布以及相关的症状和体征。本综述描述了重症患者的皮肤体征,以便更好地识别。

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