One case of severely burned patient complicated by acute hemorrhagic necrotizing enteritis and fungal infection
10.3760/cma.j.issn.1009-2587.2018.08.016
- VernacularTitle: 严重烧伤并发急性出血坏死性肠炎和真菌感染一例
- Author:
Xiaokai ZHAO
1
;
Jihe LOU
;
Xinxian FENG
;
Tao LYU
;
Shuren LI
;
Yancang LI
;
Lei WANG
;
Jian ZHANG
;
Bing LIU
Author Information
1. Department of Burns, the First People′s Hospital of Zhengzhou, Zhengzhou 450004, China
- Publication Type:Case Reports
- Keywords:
Burns;
Infection;
Fungi;
Acute hemorrhagic necrotizing enteritis
- From:
Chinese Journal of Burns
2018;34(8):562-563
- CountryChina
- Language:Chinese
-
Abstract:
One severely burned patient, caused by heat lead slag and combined with shock, was hospitalized in our burn unit on 2nd June, 2016. The patient received treatments including anti-shock, intensive care, anti-infection, and organ protection. On post injury day 16, the patient suffered outbreak of acute hemorrhagic necrotizing enteritis after eating dumplings. Plasma and albumin were given, octreotide was intravenously infused to inhibit the secretion of intestinal fluid, the broad-spectrum antibiotics were used for anti-infection, abdominal puncture and drainage were performed, sodium tanshinone ⅡA sulfonate was applied to improve the intestinal microcirculation, ulinastatin was applied to alleviate inflammatory reaction, somatostatin was given to reduce intestinal bleeding, and voriconazole was given for antifungal treatment. The patient gradually recovered and was finally cured and discharged. Among critically ill patients, gastrointestinal tract is not only the initiating organ of sepsis, but also one of the target organs which can be easily damaged during sepsis. This case reminds us the importance of gastrointestinal management in severely burned patients.
