[Escharectomy during burn shock stage contributed to controlling or alleviating infectious complication].
Among 29 patients with extensive burn, 14 received escharectomy during the shock period, and the other 15 after 96 hrs. LPS and TNF were determined before and after escharectomy 3, 7, 14 and 21 PBD. Incidence of sepsis and subeschar bacterial count were analyzed. Clinical conditions were compared. The results showed that escharectomy during burn shock stage significantly reduced infectious complications in extensively burned patients. We believe that as long as general condition of the patient allowed, early removal of eschar was beneficial in reducing the threat of sepsis.
Guo
Z
Z
Hospital, People's Liberation Army, Beijing.
Sheng
Z
Z
Gao
W
W
D000328:Adult; D002056:Burns / Q000097:blood / Q000150:complications* / Q000601:surgery; D006801:Humans; D008070:Lipopolysaccharides / Q000097:blood*; D018805:Sepsis / Q000517:prevention & control*; D012774:Shock, Traumatic / Q000601:surgery; D016038:Skin Transplantation; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism*
D008070:Lipopolysaccharides; D014409:Tumor Necrosis Factor-alpha