严重烧伤病人急性感染阶段的微循环紊乱  被引量:9

Microcirculatory Disorder of Severely Burned Patients During Acute Infection Period

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作  者:张庆富 翟君鹤 周慧敏[2] 

机构地区:[1]河北省烧伤研究所,唐山063000 [2]唐山市工人医院

出  处:《中国微循环》1998年第2期72-75,共4页Journal of Chinese Microcirculation

基  金:河北省卫生厅科研基金

摘  要:为探讨严重烧伤病人急性感染时微循环改变,用WX-753B型微循环显微镜及其图像处理系统,观测56例严重烧伤病人(烧伤面积56.05±18.20%)急住感染时足甲襞微循环(简称FNM)变化,并与同样数量的普通烧伤病人比较。结果显示,严重烧伤病人急性感染时FNM存在显著的微循环障碍,主要表现为管襻增长、管径增大、微血流速度缓慢、红细胞明显聚集、白微栓形成、襻周渗出显著等。提示临床治疗烧伤并发急性感染时应积极纠正微循环紊乱。The aim of the study was to observe the microcirculation changes of those severely burned patients during acute infection perieed. The foot nailfold microcirculation (FNM)of the severely burned patients during the acute infection period was observed by using the angioscope (WX-753B) with image analysis system (XG-8). This prospective study included 56 severely burned patients during the acute infection perieod (average burn area: 56.05±17. 20% ), and 56 general burned patients (average burn area: 19. 16 ± 7.21 % )who served as normal controls. The obvious microcirculatory disturbance of those severely burned patients was found during acute infection period. In contrast with the control group,FNM of the severely burned patients was shown as follows:the lengthened capillary length; the enlarged capillary diameter; the slowed blood flow rate; the distinct RBC aggregation and the white microthrombi form; the more permeability of the capillary loops etc. The conclusion was drawn that correction of microcirculatory disorder must be made in company with treatment of other problems during acute infection perieod.

关 键 词:烧伤 微循环 足甲襞 急性感染 

分 类 号:R644[医药卫生—外科学]

 

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