346例瓦斯爆炸烧伤伤情特点  

Characteristics of burn injury induced by gas explosion in 346 cases

作　　者：任文杰[1] 孟伟正[1] 李嵩岳[1] 王明君[1] 刘林洪[1] 秦祖喧[1] 陈明国[1] 史桂阁[1] 周一平[2] 

机构地区：[1]河南省平顶山煤业集团总医院骨科,平顶山473000 [2]南方医科大学南方医院烧伤科

出　　处：《中华创伤杂志》2007年第11期870-873,共4页Chinese Journal of Trauma

基　　金：河南平顶山煤业（集团）有限责任公司科技开发基金资助项目（41040220061116）

摘　　要：目的研究瓦斯爆炸烧伤伤情特点，以求提高治愈率。方法通过临床资料回顾性观察，进行分析研究。结果本组患者TBSA为（26±11）％，Ⅲ度伤为（10±5）％；复合伤中吸人性损伤和CO中毒发生率分别为98．8％、51．4％，伤后早期出现精神症状237例；事故现场CO含量在2％-3％以上时，烧伤程度和复合伤明显增加；死亡45例，其中21例（47％）合并多脏器功能衰竭。结论瓦斯爆炸烧伤为烧伤的一种特殊类型；吸人性损伤、CO中毒和早期精神症状是瓦斯爆炸烧伤重要临床特点；伤情越重。并发症越多。Objective To study characteristics of burn injury caused by gas explosion so as to improve curative rate. Methods A retrospective analysis was done on 346 cases of burn injury caused by gas explosion. Results Burn area in cases at TBSA accounted for （26 ± 11 ） % and those at Ⅲ° for （ 10± 5） %. Incidence rate of inhalation injuries was 98.8% and that of carbon monoxide （CO） poisoning for 51.4%. Mental symptoms occurred in 237 cases. In the scene of gas explosion, CO concentration reached 2%-3% or more, when burn injury severity and combined injuries increased significantly （P 〈 0.01 ）. Conclusions As a special type of injury, burn injury caused by gas explosion has following characteristics, ie, inhalation injury, gas poisoning and early mental symptoms. Severer injury result in more complications.

关 键 词：创伤和损伤 烧伤 烟雾吸入损伤 病死率 瓦斯爆炸 

分 类 号：R686[医药卫生—骨科学]