严重烧伤脏器损害综合防治的思考

脏器损害是目前严重烧伤最重要的死亡原因，直接阻碍严重烧伤患者治愈率的进一步提高。本文从有效防治休克减轻脏器缺血缺氧损害、加强吸入性损伤处理防治呼吸衰竭、加强感染防治和免疫调理防止炎症反应失控、积极处理烧伤创面防治创面脓毒症、加强器官功能扶持和营养支持调理高代谢、加强基础与转化研究力求精准施策等方面介绍对严重烧伤脏器损害综合防治的思考，供读者参考。;Organ damage is currently the leading cause of death directly hindering the further improvement of cure rate of severe burn patients. This paper introduces some thoughts on the comprehensive prevention and treatment of organ damage after severe burns in the following aspects: the effective prevention and treatment of shock to reduce the organ damage to ischemia and anoxia, the treatment of inhalation injury to prevent and treat respiratory failure, the strengthened prevention and treatment of infection and immune conditioning to prevent the uncontrolled inflammatory response, the active treatment of burn wounds to prevent and treat wound sepsis, the strengthened support of organ function and nutrition to modulate the hypermetabolism, the strengthened research of basic and translational medicine for precise implementation. The author hopes this paper will be a meaningful reference for readers.