{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1774","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1774","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"","keywords":"烧伤科","title":"烧伤科","channels":null},"data":{"list":[{"id":"4481","isDel":0,"createAt":1486729495961,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"褥疮的临床表现是什么","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　褥疮的临床表现是什么？褥疮是现在很常见的一种疾病，这种疾病给患者的生活带来很大的影响，同时也给患者的家庭造成很大的伤害，根据调查目前还有很多人不是很了解，那么关于这种疾病的临床表现是什么呢？下面一起来了解一下吧。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　症状体症</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1.</span><span style=\"line-height: 200%;font-family: 宋体\">受压部位红斑、水泡、溃疡依次出现；</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\"> 2.</span><span style=\"line-height: 200%;font-family: 宋体\">多见于截瘫，长期慢性消耗疾患、大面积烧伤、深度昏迷的体表骨隆突部位；</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\"> 3.</span><span style=\"line-height: 200%;font-family: 宋体\">溃疡可深及肌肉、侵犯</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">?*</span><span style=\"line-height: 200%;font-family: 宋体\">亟冢</span><span style=\"line-height: 200%;font-family: MingLiU_HKSCS, serif\"></span><span style=\"line-height: 200%;font-family: 宋体\">ｑ袼闹芸捎星毙星幌逗婉嫉馈</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　诊断依据</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1.</span><span style=\"line-height: 200%;font-family: 宋体\">多见于截瘫、慢性消耗性疾患、大面积烧伤及深度昏迷等长期卧床患者。</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\"> 2.</span><span style=\"line-height: 200%;font-family: 宋体\">多发于氐骨、坐骨结节等骨隆突处。</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\"> 3.</span><span style=\"line-height: 200%;font-family: 宋体\">在持续受压部位出现红斑、水泡、溃疡三步曲病理改变。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1650","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1441,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486729495963,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486729495961,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1909","isDel":0,"createAt":1486729202365,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"小儿烫伤的临床表现","content":"<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　小儿烫伤的程度取决于烫伤的方式和烫伤面积。其病理变化与临床表现主要反映在局部组织和全身变化两方面。</span></p>\n<p style=\"line-height: 200%;\"><strong>　　</strong><strong><span style=\";line-height: 200%; font-family: 'Tahoma','sans-serif'; color: #333333;\">(1) </span></strong><strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">局部变化：</span></strong><span style=\"line-height: 200%; font-family: 宋体;\">皮肤受高热后</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">(</span><span style=\"line-height: 200%; font-family: 宋体;\">超过</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">60</span><span style=\"line-height: 200%; font-family: 宋体;\">℃</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">)</span><span style=\"line-height: 200%; font-family: 宋体;\">，组织内蛋白即可发生凝固，以致细胞坏死。局部反应依热物的温度、接触的时间以及受伤皮肤厚薄而异。一般皮肤与</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">70</span><span style=\"line-height: 200%; font-family: 宋体;\">℃</span><span style=\"line-height: 200%; font-family: 宋体;\">热物接触</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1s </span><span style=\"line-height: 200%; font-family: 宋体;\">即发生水疱，而新生儿却常因</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">50</span><span style=\"line-height: 200%; font-family: 宋体;\">℃</span><span style=\"line-height: 200%; font-family: 宋体;\">的热水袋烫伤。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　按局部组织坏死的深度小儿烫伤同样分为</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3 </span><span style=\"line-height: 200%; font-family: 宋体;\">度。但由于小儿皮肤很薄，分度有困难。一般临床经验是容易估计偏低。</span></p>\n<p style=\"line-height: 200%;\"><strong>　　</strong><strong><span style=\";line-height: 200%; font-family: 'Tahoma','sans-serif'; color: #333333;\">(2) </span></strong><strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">全身变化：</span></strong><span style=\"line-height: 200%; font-family: 宋体;\">严重烫伤者可出现休克。烫伤后早期出现休克多由于疼痛和精神刺激引起，一般为暂时性，不严重。而继发性休克是因为毛细血管渗出增加，使组织水肿和创面大量渗液，血浆损耗，血液浓缩和循环血量减少，继而出现组织缺氧、血压下降、脉搏低弱、低血钠与酸中毒、少尿或无尿等。烫伤后</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">6</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">8h </span><span style=\"line-height: 200%; font-family: 宋体;\">内液体渗出最快，并于</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">36</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">48h </span><span style=\"line-height: 200%; font-family: 宋体;\">达最高峰，通常超过淋巴回流的能力，以后逐渐减慢。</span></p>\n<p style=\"line-height: 200%;\"><span style=\";line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1650","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1470,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486729202367,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486729202365,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2359","isDel":0,"createAt":1486728823889,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"烧伤的临床症状表现有哪些","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　我们生活中总是有一些灾难从天而降，有的时候一些事情不是我们所想的那么简单，所以遇到事情以后要尽量做好一些安全措施，一般情况下，家里要是发生了烧伤就慌的不知道要怎么办了，也不知道患者是不是严重，所以大家一定要先了解烧伤的一些临床症状，好知道要怎么办。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　烧伤的严重程度取决于受伤组织的范围和深度，烧伤深度可分为</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅰ</span><span style=\"line-height: 200%;font-family: 宋体\">度、</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅱ</span><span style=\"line-height: 200%;font-family: 宋体\">度和</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅲ</span><span style=\"line-height: 200%;font-family: 宋体\">度。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　烧伤</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅰ</span><span style=\"line-height: 200%;font-family: 宋体\">度烧伤损伤最轻。烧伤皮肤发红、疼痛、明显触痛、有渗出或水肿。轻压受伤部位时局部变白，但没有水疱。</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅱ</span><span style=\"line-height: 200%;font-family: 宋体\">度烧伤损伤较深。皮肤水疱。水疱底部呈红色或白色，充满了清澈、粘稠的液体。触痛敏感，压迫时变白。</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅲ</span><span style=\"line-height: 200%;font-family: 宋体\">度烧伤损伤最深。烧伤表面可以发白、变软或者呈黑色、炭化皮革状。由于被烧皮肤变得苍白，在白皮肤人中常被误认为正常皮肤，但压迫时不再变色。破坏的红细胞可使烧伤局部皮肤呈鲜红色，偶尔有水疱，烧伤区的毛发很容易拔出，感觉减退。</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅲ</span><span style=\"line-height: 200%;font-family: 宋体\">度烧伤区域一般没有痛觉。因为皮肤的神经末梢被破坏。烧伤后常常要经过几天，才能区分深</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅱ</span><span style=\"line-height: 200%;font-family: 宋体\">度与</span><span style=\"line-height: 200%;font-family: 宋体\">Ⅲ</span><span style=\"line-height: 200%;font-family: 宋体\">度烧伤。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　烧伤创面预后：一度创面</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">天内症状消退，</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">天全愈，脱屑，无瘢痕。浅二度如无感染，</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">星期痊愈，不留瘢痕。深二度一般</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">星期痊愈，不留瘢痕。三度创面</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">星期焦痂脱落，需要植皮后愈合，遗留瘢痕，畸形。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　我们要知道烧伤的程度不同所表现出来的症状也是不一样的，所以我们应该要根据自己烧伤的程度然后选择治疗的方法，以上就是为大家介绍的关于烧伤的一些临床症状，希望能对大家有一些帮助，能及时的对患者进行正确的处理，不至于病情更严重。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1650","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1692,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486728823891,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486728823889,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2075","isDel":0,"createAt":1486728791602,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"烧伤的三期症状表现有哪些","content":"<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　生活中有很多的意外出现，大家需要注意小儿烧伤的出现，很多的孩子会出现烧伤的情况，严重的影响到了身体健康，而且还会造成皮肤粘膜受到影响，危害性非常大，所以大家需要注意不同时期的保护方法，那么，烧伤的三期症状表现是什么？</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">、体液渗出期：为烧伤后的早期变化。轻者水肿起水泡，烧伤面积较大时，体液的丢失量也大，如治疗不及时会造成血容量减少而发生休克。渗出在</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">36</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">72</span><span style=\"line-height: 200%; font-family: 宋体;\">小时后停止而开始吸收或消肿。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">、急性感染期：主要来自创面的污染，加之伤后人体的抵抗力降低，细菌在创面上繁殖，导致创面感染，加重组织的损伤。细菌还随着体液的吸收进入血液引起败血症或脓毒血症。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">、修复期：人体的修复在创面出现炎症后不久即已开始。</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">度烧伤一般</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">5</span><span style=\"line-height: 200%; font-family: 宋体;\">日痊愈，不留疤痕。浅</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">度烧伤如无感染，半月左右痊愈，不留疤痕。深</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">度烧伤</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">4</span><span style=\"line-height: 200%; font-family: 宋体;\">周可痊愈，多留有疤痕。</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">度烧伤焦痂脱落后形成肉芽创面，须植皮才能愈合，并留有大量瘢痕。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　根据烧伤感染的病原菌可以把烧伤感染分为以下二类：</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">、细菌性感染</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　细菌性感染是烧伤感染最常见的致病。革兰氏阳性细菌感染随着敏感抗生素的出现，虽然发病率有所减少，但时有发生金黄色葡萄球菌感染和溶血性链球菌感染。革兰氏阳性细菌中绿脓杆菌、大肠村菌、爱德华菌、克雷白菌、变形杆菌</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">(</span><span style=\"line-height: 200%; font-family: 宋体;\">含吲哚阴性变形杆菌</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">)</span><span style=\"line-height: 200%; font-family: 宋体;\">、沙雷氏菌等引起的感染逐渐增多的趋势。随着厌氧菌的培养技术的发展，厌氧菌感染的发现率近几年也增加，常见的有无芽孢厌氧菌中产黑色素类杆菌和消化球菌所致的感染。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">、真菌性感染</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　由于大量或长期应用多种抗生素并发真菌感染日益增加。常见的有念珠疱疹病毒、巨细胞病毒和水痘疱疹病毒。多见于儿童的浅表烧伤创面。</span></p>\n<p style=\"line-height: 200%;\"><span style=\";line-height: 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