Broz L, Kripner J, Bucek S
Prague Burn Centre, 3rd Medical School, Charles University Hospital, Czech Republic.
Acta Chir Plast. 1995;37(3):89-93.
The control of a shock associated with burns has marked effects on the further course of burn injuries. In spite of the steadily increasing improvement of intensive care of severe burn children sometimes are not applied essential recommended procedures which are necessary during the first aid and the transport of burn cases to a burn centre. These procedures are determined by the assessment of a lot factors. A misinterpretation of these factors can lead to an insufficient or to an excessively aggressive therapy with their sequelae. This holds true both for a local and for a systemic therapy of severe burn children. The most important problems are documented by 2 case reports.
烧伤相关休克的控制对烧伤损伤的后续病程有显著影响。尽管重症监护水平不断提高,但在严重烧伤儿童的急救以及将烧伤患者转运至烧伤中心的过程中,有时并未采用一些基本的推荐程序。这些程序由诸多因素的评估所决定。对这些因素的错误解读可能导致治疗不足或过度激进,进而产生相应的后遗症。这在严重烧伤儿童的局部和全身治疗中均适用。通过两例病例报告记录了最重要的问题。