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重度烧伤患者往往伴有会阴部烧伤,该处血液循环丰富,烧伤后渗出多、水肿明显,并且接近肛门,局部创面容易被粪便污染。由于肛周皮肤褶皱较多、毛囊汗腺丰富,皮下组织疏松,容易造成寄宿细菌的大量繁殖,导致创面感染,从而影响创面愈合。在烧伤感染期,由于感染毒血症、使用大量抗生素及消化、排泄功能紊乱等原因,导致大便失禁。若粪便清理不及时,会阴部皮肤经常处于潮湿和刺激性代谢产物侵蚀的状态,导致局部红肿、溃烂,严重影响
Severe burns are often accompanied by perineal burns, rich in blood circulation, exudation after burn, edema, and close to the anus, local wounds easily contaminated by faeces. As more perianal skin folds, rich in hair follicles sweat gland, subcutaneous tissue loose, easy to cause a large number of breeding boarding bacteria, leading to wound infection, thus affecting the wound healing. In the burn infection period, due to infection with sepsis, the use of a large number of antibiotics and digestion, excretion dysfunction and other reasons, leading to fecal incontinence. If the excrement is not cleaned in time, the skin of the perineum is often eroded by moist and irritating metabolites, causing localized irritation and ulceration that severely affect