Điều trị thành công bệnh nhân cao tuổi bỏng sâu diện rộng: Báo cáo ca lâm sàng
Main Article Content
Abstract
A 73-year-old female patient suffered from 23% TBSA (21% full-thickness) due to flame burns. She underwent intensive treatment, including surgical debridement, autologous skin grafting, and antibiotic therapy adjusted according to clinical progression. Despite advanced age and complex wound infections (Pseudomonas aeruginosa and Candida tropicalis detected in urine), the patient recovered after 64 days through multidisciplinary collaboration, rigorous infection control, and optimized nutrition. Key lessons emphasize the critical role of appropriate timing and methods for surgical intervention, judicious antibiotic use, and holistic care underpinned by effective teamwork.
Article Details
Keywords
Cắt hoại tử, ghép da tự thân sớm, bỏng sâu ở người cao tuổi
References
2. Barret, J. P., & Herndon, D. N. (2003). Effects of burn wound excision on bacterial colonization and invasion. Plastic and Reconstructive Surgery, 111(2), 744-750.
3. Hayashi, K., Sasabuchi, Y., Matsui, H., Nakajima, M., Otawara, M., Ohbe, H., Fushimi, K., Ono, K., & Yasunaga, H. (2023). Does early excision or skin grafting of severe burns improve prognosis? A retrospective cohort study. Burns: journal of the International Society for Burn Injuries, 49(3), 554-561.
4. Ong, Y. S., Samuel, M., & Song, C. (2006). Meta-analysis of early excision of burns. Burns: journal of the International Society for Burn Injuries, 32(2), 145-150.
5. Khalid, K. A., Nawi, A. F. M., Zulkifli, N., Barkat, M. A., & Hadi, H. (2022). Aging and Wound Healing of the Skin: A Review of Clinical and Pathophysiological Hallmarks. Life (Basel, Switzerland), 12(12), 2142.
6. Greenhalgh, D. G. (2019). Management of burns. The New England Journal of Medicine, 380(24), 2349–2359.
7. Goyani, P., Christodoulou, R., & Vassiliou, E. (2024). Immunosenescence: Aging and Immune System Decline. Vaccines, 12(12), 1314.
8. Lee, K. A., Flores, R. R., Jang, I. H., Saathoff, A., & Robbins, P. D. (2022). Immune Senescence, Immunosenescence and Aging. Frontiers in aging, 3, 900028.
9. Gray-Miceli, D., Gray, K., Sorenson, M. R., & Holtzclaw, B. J. (2023). Immunosenescence and Infectious Disease Risk Among Aging Adults: Management Strategies for FNPs to Identify Those at Greatest Risk. Advances in Family Practice Nursing, 5(1), 27-40.
10. Church, D., Elsayed, S., Reid, O., Winston, B., & Lindsay, R. (2006). Burn wound infections. Clinical Microbiology Reviews, 19(2), 403-434.
11. Al-Mousawi, A. M., Mecott-Rivera, G. A., Jeschke, M. G., & Herndon, D. N. (2009). Burn teams and burn centers: the importance of a comprehensive team approach to burn care. Clinics in plastic surgery, 36(4), 547-554.