持续性炎症,免疫抑制,以及儿科烧伤中的代谢综合征和败血症
Michael D Santarelli1, Alvin D Jeffery2, Stephanie G Patterson1
1Department of Pediatrics, Vanderbilt University Medical Center, USA.
概括
持续性炎症,免疫抑制和代谢综合征 (PIICS) 影响15%的儿科烧伤患者,并与败血症有关. 淋巴缺血是烧伤儿童这种风险的一个关键指标.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 免疫学 免疫学 免疫学
- 传染病 传染病 传染病 传染病
背景情况:
- 败血症仍然是儿童烧伤患者发病和死亡的主要原因.
- 烧伤会引起免疫状态的改变,可能导致持续性炎症,免疫抑制和代谢综合征 (PIICS).
- 儿科烧伤患者PIICS的免疫类型的特征不清楚.
研究的目的:
- 确定烧伤儿童中PIICS和相关败血症的患病率.
- 为了确定与PIICS和败血症发展相关的因素.
- 调查PIICS和败血症的临床和实验室标志物.
主要方法:
- 从1997年到2023年,对儿科烧伤的回顾性分析.
- 使用了一个机构数据库,其中包含了非识别患者记录.
- 分析了287名儿科烧伤患者的队列.
主要成果:
- 在队列中,败血症的患病率为30%,PIICS的患病率为15%.
- 吸入伤害和全身表面积 (TBSA) 烧伤与败血症和PIICS有关.
- PIICS与败血症独立相关;在临床/实验室标准中,淋巴衰竭显示出最强的关联.
结论:
- PIICS影响了大约六分之一的儿科烧伤患者,并与败血症的发展密切相关.
- 淋巴缺血是对儿科烧伤患者严重感染的高度关注的一个重要指标.
- 早期识别PIICS和相关的败血症对于改善儿科烧伤护理结果至关重要.
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