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To create an account click the “Register” button below or to get help with registration, visit:[Clinical analysis of septic shock in burn patients].
To analyze the characteristics and outcomes of septic shock in burn patients. The clinical data of 20 septic shock burn patients admitted to the intensive care unit (ICU) of burn hospital in our department from January 2015 to July 2016 were retrospectively analyzed. The patients were in a mean age of (37.80±8.34) years (range, 25-60 years) and 17 patients were men and 3 patients were women. There were 13 patients suffered from 23% TBSA (range, 20%-30%) full thickness burn. Six patients took total skin graft, 6 patients took partial skin graft and 8 patients took coverage dressing. Eighteen patients took enteral nutrition (EN) in the mean time of (9.29±3.50) days. Twelve patients experienced shock during the first 72 hours after admission (the early onset shock group), 8 patients developed shock after 72 hours (the late onset shock group). The onset time of shock in the early onset shock group was 48 hours (25-60 hours). According to the ISS score, there were 8 patients in mild, 9 patients in moderate and 3 patients in severe. There were 3 patients in shock state before admission, 13 patients in nonshock state, 4 patients in shock after admission and 2 patients in nonshock after admission. Five patients in the early onset shock group died in the ICU and one patient was discharged from the hospital. Four patients in the early onset shock group died, the mortality rate was 40%. There were 1 patient who died in the late onset shock group, the mortality rate was 12%. All the patients in the early onset shock group were in septic shock. All the patients were cured in late onset shock group. In septic shock in burn patients, the early onset of shock is correlated with the poor prognosis, the late onset of shock is a benign symptom./*
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