【摘要】 目的：分析烧伤休克缺氧性损害对烧伤预后的影响。方法：按烧伤休克的严重程度将71例烧伤休克病例分为轻度休克43例、中度休克11例和重度休克17例。并在伤后8小时做创面细菌培养以及在回吸收期血液细菌培养，观察烧伤休克对脏器的损害和对局部烧伤的影响。结果：在 71例烧伤休克病例中，轻、中、重度休克发生MODS分别为10例、7例和15例;死亡分别为4例、6例和13例;血液细菌培养阳性分别为13例、6例和13例;创面培养阳性分别为39例、11例和17例。结论：烧伤及烧伤休克释放的促炎因子参与并介导MODS，使宿主出现获得性免疫缺陷，增加对感染的易感性;同时，烧伤休克缺氧性损害，还可使浅度局部烧伤卒为深度。严重烧伤后MODS、全身感染等并发症的发生与休克的严重程度成正相关。

【关键词】 烧伤休克 MODS 全身感染 局部烧伤

The clinic analysis of the effect of burn shock on prognosis for burn. Ma Jie Department of Burn the Second Miner Hospital of Huainan ,Anhui 232052;Yang Tian-rong Department of Burn Plastic Hospital Affiliated to Chongqing Medcial University,Chongqing.

【Abstract】 -ive To analyse the effect of burn shock anoxic damage on prognosis for burn.Methods All burn shock cases are divided into light degree shock 43 cases and middle degree shock 11 cases and grievous degree shock 17 cases according to severity extent of burn shock,to investigate the effects of organs damaged and local burn in the burn shock,wound bacterium are bringed up after burn eight hours and blood bacterium are bringed up reassimilation period.Results There are 10 cases MODS and 4 cases died and 13 cases blood germicuture (+) and 39 cases wound germicuture (+) in light degree shock.,there are 7 cases MODS and 6 cases died and 6 cases blood germicuture (+) and 11 cases wound germicuture (+) in middle degree shock, there are 15 cases MODS and 13 cases died and 13 cases blood germicuture (+) and 17 cases wound germicuture (+) in grievous degree shock..Concluds Acceleration inflammation factors are released in the burn shock and its participate to mediate MODS,host of parasite appear acquiring immunodeficiency.augment its susceptibility to infection,at the same time wound is turned superficiality to deepness in burn shock anoxic damage.Symdromes of MODS and systeric infection are positive correlation to severiy extent of burn shock.

【key words】burn shock MODS sysermic infection local burn

烧伤休克是指发生在休克期内的未能获得及时有效的液体复苏而导致的休克，尤其在严重烧伤时的延迟复苏常发生低血容量休克，同时，还易并发感染和/或多器官功能衰竭(MOF)，给治愈烧伤带来严重困难，死亡率居感染死亡后的第二位。本文旨在探讨烧伤休克缺氧性损害对脏器功能、全身感染和局部创面的影响。现分析如下：

1临床资料

1.1资料 本文选择1988年10月至2006年6月烧伤休克病例71例，男性49例，女性22例，年龄1.5-56岁，平均33.5岁，T BSA 49-95%，平均66%，入院时间为伤后1.5-8小时。

1.2 方法 按烧伤休克的严重程度将休克分成轻度休克43例，中度休克11例，重度休克17例，并在伤后8小时做创面细菌培养以及刚进入回吸收期时做血液细菌培养，观察烧伤休克对脏器的损害、全身感染和局部烧伤的影响。其数据采用SAS6.14统计学分析软包方差分析。

2结果

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