Cerebral neurological complications in patients with thermal injury
https://doi.org/10.25016/2541-7487-2017-0-1-77-83
Abstract
Relevance. Treatment of patients with severe thermal injury includes therapy comorbidities and complications, among which the special role played by the central nervous system. Their development is largely determines the weighting of the condition worsens the prognosis, as well as leading the timing of recovery. For burn disease may be accompanied by the development of the cerebral neurological complications, such as burn encephalopathy, acute violation of cerebral circulation, secondary purulent meningitis. Intention – identify the main pathogenetic mechanisms of neurologic complications and their correction have burned. Methods Review and analysis of literature data on neurological complications from burned and their treatment options. Results and Discussion. In the genesis of neurological disorders in the burned main role constitute the hemodynamic, electrolyte disorders, violations, breach the blood-brain barrier in the face of intoxication. Develops complex disorders, which can result in secondary purulent meningitis and meningoencephalitis. A comprehensive treatment, including surgical restoration of the skin integument, infusion therapy, antibiotics, drugs neuroprotektors stimulants avoids a number of severe complications. Conclusion. Timely pathogenetically justified treatment of neurological complications in burned, carried out within the framework of the integrated therapy of burn disease is essential, because such an approach contributes to the best possible outcomes.
About the Authors
Sergey Vladimirovich Vorobiev
Kirov Military Medical Academy
Russian Federation
Dr. Med. Sci., Senior Lecturer, Department of nervous diseases
Russian Federation
Dr. Med. Sci., Senior Lecturer, Department of nervous diseases
Aleksandr Leonidovich Admakin
Kirov Military Medical Academy
Russian Federation
PhD Med. Sci., Associate Prof., Department of Thermal Lesions
Russian Federation
PhD Med. Sci., Associate Prof., Department of Thermal Lesions
Andrey Sergeevich Titov
Kirov Military Medical Academy
Russian Federation
PhD Med. Sci., Chief of Anesthesiology, resuscitation and intensive therapy clinic Thermal Lesions and plastic surgery
Russian Federation
PhD Med. Sci., Chief of Anesthesiology, resuscitation and intensive therapy clinic Thermal Lesions and plastic surgery
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Review
For citations:
Vorobiev S.V., Admakin A.L., Titov A.S. Cerebral neurological complications in patients with thermal injury. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2017;(1):77-83. (In Russ.) https://doi.org/10.25016/2541-7487-2017-0-1-77-83
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