The New Approach to the Diagnostics and Treatment of Endogenous Intoxication in Patients with Burn Injury

• 作者: Anatolii Voloshinovskii Lesia Ostapiuk Nataliia Tuziuk Stepan Zaporozhan Taras Malyi Vasyl Savchyn
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Burn Injury Method of Fluorescence Spectroscopy Endogenous Intoxication ALBUMIN
• 年，卷（期）: 2020,（6）
• 页码范围: 375-388
• 页数: 14页
• 分类号: R73

摘要

<strong>Background: </strong>The main causes of mortality in patients with burn injury are the development of systemic inflammatory process, multiple organ failure and septic complications. <strong>The aim of the research:</strong> Improvement of diagnostic and therapeutic approaches to the detection and elimination of endogenous intoxication in patients with burn injury. <strong>Materials and methods:</strong> The main study group consisted of 19 patients and the comparison group—of 10 patients with burn injury. 92 blood serum (BS) samples of the patients of the main group were tested, using the method of fluorescence spectroscopy (MFS). The advanced therapeutic tactics were proposed for the patients of both groups. The control group consisted of 40 healthy individuals (donors). BS of these patients was also tested using MFS. <strong>Results: </strong>Patients with burn injury have endogenous intoxication in their blood. The effective concentration of albumin is reduced in patients with burn injury due to the blockage of albumin binding centers by bacterial metabolism products. Fluorescence spectra (FS) of BS in patients with burn trauma and donors were obtained and investigated. Based on MFS results, an improved treatment regimen using infusion of albumin solution was proposed. <strong>Conclusions:</strong> An improved technique for the management of patients with burn injury is based on the use of MFS for the diagnostic evaluation of endogenous intoxication in them. The idea of pathological changes in albumin molecules in patients with burn injury is pathogenetically substantiated by the successful use of infusion of albumin solution in these patients on the basis of the MFS.