感染是当前大面积烧伤患者的主要死因,尽早切痂是控制感染的主要手段。我院18年共收治98例大面积烧伤,其中4例在伤后3天内死亡。本文就94例成人大面积烧伤患者切痂时机与发生败血症的关系作回顾性分析。 1 临床资料 94例中男54例,女40例;年龄14～81岁,平均48.4岁;TBSA50%～100%,平均65.3%;Ⅲ°21%～96%,平均42.7%;一次切痂面积13%～39%,平均21.1%。死亡25例,病死率26.6%。败血症发生时间(以第一次血培养阳性结果计):伤后4天内5例,5～10天25例,11～15天11例,16天后10例。共培养出54株致病菌株, Infection is the main cause of death in the current extensive burn patients. As soon as possible, escharectomy is the main means of infection control. In our hospital for 18 years, a total of 98 cases of extensive burns were treated, of which 4 died within 3 days after injury. This article retrospectively analyzed the relationship between the timing of escharectomy and the occurrence of sepsis in 94 adult patients with extensive burn. 1 clinical data 94 cases of 54 males and 40 females; aged 14 to 81 years, mean 48.4 years; TBSA 50% to 100%, an average of 65.3%; Ⅲ ° 21% to 96%, an average of 42.7% 13% ~ 39%, an average of 21.1%. 25 died, the case fatality rate was 26.6%. Sepsis time (first blood culture positive results): 5 cases within 4 days after injury, 5 to 10 days in 25 cases, 11 to 15 days in 11 cases, 16 days after 10 cases. Co-cultivate 54 strains of pathogens,