老年人重度烧伤42例治疗的临床分析  

Clinical analysis of the synthesized treatment for 42 elderly patients with serious burning

作　　者：李学愚 陈艾[1] 

机构地区：[1]四川省资阳市人民医院,641301

出　　处：《中国医学创新》2009年第19期23-24,共2页Medical Innovation of China

摘　　要：目的总结老年人重度烧伤早期救治经验，以进一步提高治愈率。方法回顾1998～2008年笔者所在科收治的老年重度烧伤（Ⅱ度烧伤总面积〉30％或Ⅲ度烧伤面积〉10％）患者42例的治疗效果并作临床分析。结果本组42例中，治愈32例，放弃治疗3例，死亡7例，病死率16．7％。死亡原因中侵袭性感染2例，多脏器衰竭3例，吸入性损伤1例，其他1例。结论侵袭性感染和多脏器功能衰竭是死亡的主要原因。有效充分液体复苏、早期胃肠道营养和早期切痂植皮封闭创面能降低老年重度烧伤患者并发症发生，缩短病程，提高治愈率。Objective To summarize the experience of early management in elderly patients with serious burning in order to raise cure rate. Methods Elderly patients （42 cases） with serious burning （burne Ⅱ°area exceeding 30% or Ⅲ° area exceeding 10% ） admitted from 1998 to 2008 were retrospectively studied. Results Of 42 cases, 32 cases were cured and 7 cases were dead （ 16.7% ） of which 3 cases died in MODS, 2 cases died in invasive infection, 1 case died in inhalation injury and 1 case died in other reason. Conclusion The new therapy applied in serious burned elderly patients can reduce the occurrence of complications, shorten the course of treatment and increase the cure rate.

关 键 词：重度烧伤 综合疗法 老年人 治疗 临床分析 

分 类 号：R644[医药卫生—外科学]