{"nowTime30":1777558889089,"lyBarModerator":null,"metaSearch":{"description":"　　褥疮病因\n　　褥疮系身体局部长期受压使血液循环受阻，而引起的皮肤及皮下组织缺血而发生水疱溃疡或坏疽一般来说，长期卧床、体质衰弱、翻身不便及肢体感觉迟钝者易患褥疮，临床上多见于以下三类患者：\n　　昏迷及瘫痪病人\n　　卧床不起体质衰弱的病人。\n　　骨折后长期固定或卧床的病人。\n　　褥疮发病机制\n　　","keywords":"褥疮病因及发病机制_洞医","title":"褥疮病因及发病机制_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1650","isDel":0,"createAt":1483439333491,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院烧伤科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医网为您提供:北京协和烧伤科、北京协和医院烧伤科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和烧伤科_北京协和医院烧伤科_洞医\",\"title\":\"北京协和烧伤科_北京协和医院烧伤科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"3588","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何才能避免褥疮的发生呢","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　我们都知道洁净的肌肤可以帮助我们预防很多疾病的发生，同时我们要是能够做好肌肤清洁工作的话也能避免褥疮的出现，褥疮是由于局部皮肤受压过久所引起的，所以对于长期卧床的病人应该引起注意，要经常做翻身运动减少局部受压。特别是对于褥疮的好发部位最好是涂抹上凡士林，来减少皮肤的摩擦，下面我们就具体来看看，如何才能避免褥疮的发生呢？</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">&nbsp;&nbsp;</span><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">如何才能避免褥疮的发生呢</span></strong></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　保持床褥的清洁干燥</span> <span style=\"line-height: 200%;font-family: 宋体\">房间减少人员的流动，地面、桌面每日可用含有效氯的消毒液擦拭，注意室内空气的流通，每日开窗通风两次，每次</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">30</span><span style=\"line-height: 200%;font-family: 宋体\">分钟。保持床褥的清洁、干燥，如有污迹，及时更换。保持病人皮肤的清洁，特别要加强会阴部的护理，每次便后均要清洗会阴，可采用带槽式便盆来清洗会阴，保持会阴部清洁，无异味。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　防止局部皮肤受压过久</span> <span style=\"line-height: 200%;font-family: 宋体\">长期卧床的病人应该注意至少每</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">小时更换一次体位，在骨隆突处放置支撑物，以减少局部受压。有条件的家庭可以使用气垫床等新型器具，通过气垫床充气放气的方法，利用其压点移动的原理使患者身体各处受压均匀。对于受压部位如背部，如果表面皮肤未变红，家人每日可用手掌的大小鱼际处环形按摩病人背部，以改善其血液循环。但如果病人背部皮肤已变红，观察</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">30</span><span style=\"line-height: 200%;font-family: 宋体\">分钟仍不能褪色，则表明该处软组织已受损，不可再对其进行按摩。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　褥疮好发部位涂抹凡士林</span> <span style=\"line-height: 200%;font-family: 宋体\">可以在褥疮的好发部位比如肩背部、骶尾部、髋部、内外踝部、足跟部、耳廓以及枕部等处表面涂抹凡士林使其形成封闭性油膜，以缓解局部垂直压力的作用，来减少皮肤的擦伤。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　在骨隆突处可以使用茶叶垫</span> <span style=\"line-height: 200%;font-family: 宋体\">茶叶垫膨松，茶叶的叶与叶间空隙较大，透气性强，可使身体局部与外界环境气体得到充分交换，并具有散热功能，病员感觉也较舒适。茶叶垫制作也较方便，用低等的绿茶，将之做成条索状，</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">500</span><span style=\"line-height: 200%;font-family: 宋体\">克原料中茶叶</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">250</span><span style=\"line-height: 200%;font-family: 宋体\">克，菊花</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">150</span><span style=\"line-height: 200%;font-family: 宋体\">克，金银花</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">50</span><span style=\"line-height: 200%;font-family: 宋体\">克，薄荷</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">50</span><span style=\"line-height: 200%;font-family: 宋体\">克。打碎薄荷中的硬茎叶，剔除原料中的硬梗，根据病人的需要缝制成不同形状的茶叶垫。</span></p><p style=\"line-height: 200%\"><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">　　褥疮划分为以下四个级别</span></strong></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　要想知道褥疮患者处于几级，就要对褥疮的分级有一定的了解。在医学方面，对于褥疮的发病，一般会分为四个阶段：红斑期、水泡期、浅溃疡期、深溃疡期。而且每个阶段的褥疮患者症状都不同。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　红斑期：这一期的褥疮患者，会出现局部血液供应不足，组织缺血，动脉反应性扩张，导致受压部位出现红斑，但是并未出现破溃</span> <span style=\"line-height: 200%;font-family: 宋体\">。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　水泡期：此期间，褥疮患者的受压部位出现大小不一的水泡，皮肤发红充血，用手指压时不消退。皮肤颜色表现为紫红色、有硬结，知觉正常的患者有疼痛感、此时尚未伤及皮下组织。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　浅溃疡期：这个时期的褥疮患者，表皮或真皮全部受损，穿入皮下组织，但尚未穿透筋膜</span> <span style=\"line-height: 200%;font-family: 宋体\">及肌肉层。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　深溃疡期：褥疮溃疡变深变大，导致溃疡发病严重的可能伤及患者的皮下组织或是骨膜。而且，这个时期的褥疮患者发病是最为严重的。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　知道褥疮的分级，患者家属们就可以根据患者的症状来进行辨别了，从而也可以知道发病的严重程度。在此，专家建议要带患者选择专业的医院进行褥疮的治疗，不要盲目用药。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　褥疮在早期的时候没有发现或是发现了不重视治疗的话就很有可能造成大面积的溃烂，这会给患者带来更大的痛苦，所以对于褥疮患者一定要及时的进行治疗，避免带来更大危害，同时还要做好护理工作，消除一切对褥疮治疗不利因素，使患者尽快恢复身体康复。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1650","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","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":5},{"id":"4686","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"出现了烧伤如何进行护理呢","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　生活中有很多的人，不注意自己的生活，这样容易造成很多的意外，很多的人容易出现受伤，烫伤的情况，严重的影响了生活健康，出现烧伤之后，应该注意一些护理，尽快的调解。出现了烧伤如何进行护理呢？</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\">饮食指导进食高蛋白、高热量、易消化、富含维生素的食物。</span></p><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\">作息指导宜多卧床休息，经常更换受压部位，抬高患肢以利静脉回流，减轻患肢水肿。</span></p><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\">特殊指导</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\">抬高患肢以利静脉回流，减轻患肢水肿。一般应取前臂两于肘，肘高于心脏，而小腿高于大腿的体位。</span></p><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\">预防创面感染：指</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(</span><span style=\"line-height: 200%;font-family: 宋体\">趾</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">甲、皮肤皱折中污物易造成创面感染，应修剪指</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(</span><span style=\"line-height: 200%;font-family: 宋体\">趾</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">甲，清洁局部皮肤，配合清除创面分泌物。</span></p><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\">注意保持各关节处于功能位置，防止足下垂。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(4)</span><span style=\"line-height: 200%;font-family: 宋体\">积极进行功能锻炼，先行各关节被动运动，逐步过渡到主动运动，并注意运动的强度。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(5)</span><span style=\"line-height: 200%;font-family: 宋体\">预防肢端缺血、坏死：手足环形深度烧伤或包扎过紧，可造成肢体回流障碍，如发现肢端发麻、发凉时，应立即告知医护人员予以处理。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">一定要提前做好预防措施。</span></strong></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\">、家电</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　教育小儿不随意摆弄家用电器，不玩耍和接近电源开关、插头、电线等，以免造成电烧伤。电烧伤，抢救不及时，可能危及生命。</span></p><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\">、热水</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　小儿在澡盆内洗澡时，应先放冷水后加热水，以免小儿误踩入或坐入热水盆中造成烫伤。在我院收治的患儿中，有相当一部分是由于家长先放热水，还没加冷水时，小儿踩入或坐入热水盆中造成臀部、会阴及下肢烫伤。</span></p><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\">、容器</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　家庭中一切温度较高的液体及其容器，如热汤、热稀饭、开水瓶等应放在小儿不能攀及或撞翻的安全地方，不要将小儿单独留在厨房中或火炉旁，不要抱小儿煮饭、炒菜，也不要抱着小儿吃饭，以防不慎造成烫伤。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">、热水渗漏</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　冬天取暖时应防止热水袋或保温壶内的热水渗漏，同时容器外应用较厚的布套妥善包好，不与小儿皮肤直接接触。这种烫伤新生儿比较多见。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">、玩火</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　教育小孩不要玩火，尽量不要燃放烟花爆竹，逢年过节燃放烟花爆竹时，一定要有大人看护，不能让小儿单独玩耍。曾有小孩放鞭炮时造成手掌穿通伤，后果严重。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">6</span><span style=\"line-height: 200%;font-family: 宋体\">、化学物质</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　家里不要存放化学物质，如硫酸等，以免引起化学性烧伤。化学性烧伤一般创面较深，留疤痕的可能性大。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　温馨提示，希望家长有所认识，有效地进行保健，平时也要注意，避免一些意外出现，希望家长要注意了解，当孩子出现了烧伤之后，家长都非常痛苦，而且孩子也哭闹不止，平时避免孩子玩火，不要让孩子离火源太近。</span></p><p style=\"line-height:200%\"><span style=\";line-height: 200%\">&nbsp;</span></p><p><br/></p>","barId":"1650","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","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":1},{"id":"4775","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"烫伤美容 请求治疗方法","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男,20岁。小时候脸部被烫伤 ，现在伤口有点发黑有点凹陷 ，请问有什么办法可以修复</span></p>","barId":"1650","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","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":1},{"id":"1316","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"宝宝红屁屁烂了怎么办","content":"<p><span style=\"color: #333333; font-family: 'Hiragino Sans GB', Helvetica, 'microsoft yahei', simsun, arial; font-size: 14px; line-height: 32px; background-color: #fcfcfc;\">宝出生19天，宝宝红屁屁烂了怎么办？</span></p>\n<p>用湿润烧伤膏嘛？</p>","barId":"1650","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","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":1},{"id":"2075","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"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: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1650","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","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":1},{"id":"2651","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"哪些是烧伤的常见感染原因","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　大家在日常生活当中，需要注意汤伤烧伤的出现，一旦出现这样的现象会造成细菌感染，严重的影响到了皮肤健康，所以，平时需要警惕起来，要注意烧伤的一些危害后果，避免造成感染，那么，烧伤的常见感染原因有哪些？</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">1</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、细菌性感染</span></strong></p><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><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">2</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、真菌性感染</span></strong></p><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><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　根据侵犯部位及深度将烧伤感染分为以下几类：</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\">、创面污染</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　创面表面有细菌生长，但没有侵犯到烧伤后的组织，没有局部及全身症状。</span></p><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\">、创面感染</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　烧伤组织有一定量的细菌，但没有侵犯到创面周围的正常组织，仅有局部症状。</span></p><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\">、侵袭性感染</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　即全身性感染，是正常组织达到一定的菌量而且出现全身症状。包括烧伤创面脓毒症的败血症，</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">Teplitz</span><span style=\"line-height: 200%;font-family: 宋体\">首先提出烧伤创面脓毒症的概念，他指出每克焦痂下坏死组织中细菌数量超过</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">105</span><span style=\"line-height: 200%;font-family: 宋体\">并向邻近的未烧伤组织侵袭者称为烧伤创面脓毒症。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　大家需要注意了解其中的感染因素，并且在日常生活当中，需要注意身体的保健方法。而且要注意护理事项，避免造成渗液流出，而且要注意全面进行调节身体，以免造成更多危害，并且在日常生活当中，也要注意保健方法，有效进行调理，以免造成更多影响，同时要注意合理进行饮食。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1650","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","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":1}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"1627","isDel":0,"createAt":1486729599054,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"褥疮病因及发病机制","content":"<p style=\"text-align: left;\"><span style=\"line-height: 200%;\">　　</span><strong style=\"line-height: 200%;\"><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">褥疮</span></strong><strong style=\"line-height: 200%;\"><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">病因</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　褥疮系身体局部长期受压使血液循环受阻，而引起的皮肤及皮下组织缺血而发生水疱溃疡或坏疽一般来说，长期卧床、体质衰弱、翻身不便及肢体感觉迟钝者易患褥疮，临床上多见于以下三类患者：</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　昏迷及瘫痪病人</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　卧床不起体质衰弱的病人。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　骨折后长期固定或卧床的病人。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">褥疮</span></strong><strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">发病机制</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　长期压迫且集中于身体某一部位足以使局部血循环受阻而导致组织缺氧，从而引起组织损伤和坏死。若继续受压会导致全层皮肤坏死缺损。产生的溃疡易导致细菌感染由于溃疡基部及边缘的毛细血管和静脉淤血，加之逐渐形成大量肉芽组织，使溃疡或坏疽区在皮下迅速穿凿扩大于数天内可使其直径达</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;\">6cm</span><span style=\"line-height: 200%; font-family: 宋体;\">，穿凿范围可距边缘</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">8</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">10cm</span><span style=\"line-height: 200%; font-family: 宋体;\">，向深部发展可累及骨膜甚至骨质引起局灶性骨膜炎或骨髓炎。</span></p>\n<p style=\"line-height: 200%;\"><span style=\";line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1650","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2009,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486729599055,"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":1486729599054,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"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},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1015","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"1","topicTypeName":"资讯","themeName":"专家观点","barType":"101","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}