论文部分内容阅读
目的总结三度烧伤≥90%病人抢救经验。方法选择1966年～2002年烧伤三度面积≥90%的病例,主要采取以及时正确的补液为主的综合方法复苏;中重度吸入性损伤伤员早期行气管切开术,保持气道通畅;积极扶植机体,正确处理创面,合理使用抗生素和必要的消毒隔离制度,防治烧伤感染和脏器并发症;三度创面处理的原则:尽早地清除坏死组织,及时、切实地封闭创面,自体皮和异体(种)皮结合,异体皮开窗嵌皮法和微粒、皮浆移植大张异体(种)皮覆盖术,以及肠内营养摄入和功能恢复治疗。结果48例病人16例救治成功,7例可以生活自理。结论及时正确的复苏是抢救的基础,切实有效的封闭创面是抢救成功的关键。防治感染与脏器并发症贯穿治疗的全过程。
Objective To summarize the third-degree burn experience of more than 90% of patients. Methods A total of 90% of cases with burns of more than 90% were selected from 1966 to 2002. The patients were mainly resuscitated by a comprehensive and timely rehydration-based method. Tracheotomy was performed in moderate to severe trauma patients at the early stage to maintain airway patency. Fostering the body, the correct treatment of wounds, the rational use of antibiotics and the necessary disinfection and isolation system, prevention and treatment of burn infections and complications of the organ; Third principles of wound treatment: as soon as possible to remove necrotic tissue, timely and effectively close the wound, autologous skin and allogeneic (Skin), allogeneic skin window opening and skinning and microparticles, skin allograft skin flap (cover), and enteral nutrition and functional recovery treatment. Results 48 cases of 16 patients successfully treated, 7 cases can take care of themselves. Conclusion The timely and correct recovery is the basis of emergency rescue. The effective and effective closure of wounds is the key to successful rescue. Prevention and treatment of complications and complications throughout the entire process of treatment.