烧伤治疗措施改进及疗效分析  

Evaluation of curative effect of improved treatment measures on burn patients

作　　者：杨红明[1] 柴家科[1] 梁黎明[1] 李利根[1] 高建川[1] 吴炎秋[1] 

机构地区：[1]解放军总医院第304临床部全军烧伤研究所,北京100037

出　　处：《军医进修学院学报》2004年第4期244-246,共3页Academic Journal of Pla Postgraduate Medical School

基　　金："十五"军队科研基金项目 ( 0 1L0 81)

摘　　要：目的 :探讨治疗措施的进步对患者治疗效果的影响。方法 :1997年 3月至 2 0 0 3年 2月入院的烧伤患者 2 72 1例。其中烧伤面积≥ 30 %者 2 4 8例 ,<30 %者 2 4 73例。分析患者平均住院时间、治愈率、半数致死面积 (LA5 0 )、Ⅲ度LA5 0。改进的治疗措施主要针对危重烧伤患者并发症的预防和治疗。结果 :平均住院天数 2 5d ,总的治愈率达 99.71% ,LA5 0为 98.97% ,Ⅲ度烧伤面积LA5 0为 89.32 % ,较我所既往报道有进一步提高。结论 :治疗手段的改进完善了危重烧伤患者并发症的预防和治疗 ,进而提高了烧伤治疗水平。Objective:To evaluate the curative effect of improved treatment measures on burn patients through analyses of patients admitted to our burn center in the past 6 years. Methods:2721 patients hospitalized to the center from May, 1997 to February, 2003 were involved in this retrospective study, 248 of which sustained burns ≥30% of total body surface area (TBSA), 2473 of which had burns <30% of TBSA. Average hospitalization days, cure rate, 50% lethal area (LA50), Ⅲ°LA50. Improved treatment measures were concentrate on complication prevention: small molecular heparin to prevent micro-thrombus, low volume ventilation and high PEEP to treat ARDS, Thymosin-α1 to modulate immune dysfunction, heparin-free hemodialysis to treat hypernatremia, and short-term combined utilization of large dose glucocorticoid and anisodamine to control septic shock. Results:The average hospitalization days were 25, and the cure rate was 99.71%, and LA50 and Ⅲ° LA50 were 98.97% and 89.32% respectively, which were much better than before. Conclusion:Innovation of treatment measures improved the outcome of burn patients.

关 键 词：烧伤 治疗 小分子量肝素 胸腺肽 预防 免疫机能障碍 

分 类 号：R644[医药卫生—外科学]