严重烧伤脓毒症诊治的研究进展
摘要
<正>烧伤脓毒症是严重烧伤后常见的并发症,也是目前严重烧伤患者器官功能障碍综合征和死亡的重要原因之一。因烧伤患者的脓毒症不同于未烧伤人群,需要努力制定更准确的诊断策略和指南,以更加方便于诊治该疾病。近年来,随着不断对脓毒症进行深入探究、各种检测技术的不断改
引文
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[24]王联群.免疫营养对外科脓毒症的治疗研究[J].江西医药,2008,43(10):1005-1006.
[25]Rafla K,Tredget EE.Infection control in the burn unit[J].Burns,2011,37(1):5-15.
[2]陈海鸣.脓毒症动物实验模型研究进展[J].江西医药,2012,47(10):937-939.
[3]Delliuger RP,Levy MM,Cadet JM,et al.Surviving sepsis campaign:international guidelines for management of severe sepsisand septic sheck:2008.Crit Care Med,2008,36(1):296-327.
[4]姚咏明,盛志勇.柴家科烧伤脓毒症发病机制与防治对策[J].中华烧伤杂志,2008,24(5):337-339.
[5]Greenhalgh DG,Saffle JR,Holmes JH 4th,et al.American Burn Association consensus conference to define sepsis and infection in burns[J].J Burn Care Res,2007,28:776-790.
[6]Mann-Salinas EA,Baun MM,Meininger JC,et al.Novel predictors of sepsis outperform the American Burn Association sepsis criteria in the burn intensive care unit patient[J].J Burn Care Res,2013,34:31-43.
[7]Singer M,Deutschman CS,Seymour CW,et al.The Third International Consensus Definitions for Sepsis and Septic Shock(Sepsis-3)[J].JAMA,2016,315:801-810.
[8]Stanojcic M,Vinaik R,Jeschke MG.Status and Challenges of Predicting and Diagnosing?Sepsis in Burn Patients[J].Surg Infect(Larchmt),2018 Feb/Mar;19(2):168-175.
[9]中国医师协会烧伤医师分会《烧伤感染诊治指南》编辑委.烧伤感染的诊断标准与治疗指南(2012版)[J].中华烧伤杂志,2012,28(6):401-403.
[10]肖光夏.烧伤感染的控制[J].中国感染控制杂志,2007,6(4):217-219.
[11]柴家科,郑庆亦,李利根,等.“八二”昆山工厂铝粉尘爆炸事故八例特重度烧伤伤员救治分析[J].中华烧伤杂志,2018,34(6):332-338.
[12]肖光夏.烧伤感染的现状、对策与防治新动向[J].中华烧伤杂志,2007,23(2):81-83.
[13]Chipp E,Milner CS,Blackburn AV.Sepsis in burns:a review of current practice and future therapies[J].Ann Plast Surg,2010,65(2):228-236.
[14]Dellinger RP,Levy MM,Rhodes A,et al.Surviving Sepsis Cam.paigu:international guidelines for management of Severe Sepsis and Septic shock,2012[J].Intensive Care Med,2013,39(2):65.228
[15]Kelm DJ,Perrin JT,Cartin-Ceba R,Gajic O,Schenck L,Kennedy CC.Fluid overload in patients with severe sepsis and septic shock treated with early goal-directed therapy is associated with increased acute need for fluid-related medical interventions and hospital death[J].Shock,2015,43(1):68-73.
[16]Rhodes A,Evans LE,Alhazzani W,et al.Surviving sepsis Campaign:international guidelines for management of sepsis and Septic shock:2016[J].Intensive Care Med,2017,43(3):304-377.
[17]Avni T,Lador A,Lev S,et al.Vasopressors for the treatment of Septic shock:systematic review and meta-analysis[J].PLo S One,2015,10(8):e0129305.
[18]Cabral L,Afreixo V,Santos F,Almeida L,Paiva JA.Procalcitonin for the early diagnosis of sepsis in burn patients:A retrospective study[J].Burns,2017,43(7):1427-1434.
[19]王凡,胡高中,陈婧,等.血清降钙素原对烧伤脓毒症患者预后的意义[J].中华烧伤杂志,2014,30(3):223-226.
[20]Chai JK,Diao L,Sheng ZY,et al.Heparin-free hemodiaiysis in thetreatment of hypernatremia in severeiy burned patient[J].Burns,2000,26:634-637.
[21]Huan JN.Recognizing prevention and treatment of burn sepsis with the concept of holistic integrative medicine[J].Zhonghua Shao Shang Za Zhi,2017 Apr 20;33(4):196-199.
[22]Minneci PC,Deans KJ,Banks SM,et al.Meta-analysis:the effect ofsteroids on survival and shock during sepsis depends on the dose[J].Ann Intern Med,2004,141(1):47-56.
[23]Peng YZ,Yuan ZQ,Xiao GX.Effects of early enteral feeding onthe prevention of enterogenie infection in severely burnedpatien￣ts[J].Burns,2001,27(2):145-149.
[24]王联群.免疫营养对外科脓毒症的治疗研究[J].江西医药,2008,43(10):1005-1006.
[25]Rafla K,Tredget EE.Infection control in the burn unit[J].Burns,2011,37(1):5-15.