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作 者:李传吉[1] 邓兴旺[1] 李俊[1] 吴少军[1] 张龙[1] 金少华[1]
机构地区:[1]宁夏医科大学附属石嘴山市第一人民医院烧伤科,宁夏石嘴山753200
出 处:《中国烧伤创疡杂志》2012年第5期375-378,共4页The Chinese Journal of Burns Wounds & Surface Ulcers
基 金:宁夏回族自治区卫生厅科研基金资助项目(2009083)~~
摘 要:目的分析宁蒙周边化工企业成批烧伤患者致伤因素,探讨早期救治方法与应对措施。方法将2007年1月至2011年11月收治的9~21例/批的成批烧伤患者12批共195例,按组织领导,合理分类,行预防性气管切开,全身与局部治疗,手术植皮等方法治疗。深入化工企业对12000余人做自救、逃生、转送的专业知识培训,提出了相应的应对措施。结果本组病例治愈186例(治愈率95.36%);死亡9例(死亡率4.61%)。经过培训的企业发生群体和个体烧伤时,现场均能正确施救与转送。结论对成批烧伤患者早期执行预定救治方案处理,可提高救治成功率,经过专业培训的工人、干部均能在现场正确开展施救与转送,为到院救治赢得了宝贵时间。Objective To analyze the wounding factors for mass bum in the chemical industries along Ningxia and Mongolia Region and to explore the first aid measures and countermeasures. Methods Between Jan. , 2007 and Nov. , 2011, 195 patients in 12 accidents affecting 9 ~ 12 patients each were classified properly following the leader' s instruction. The preventive traeheotomy, systemic and topical treatment, surgical skin grafting and other interventions were performed to rescue the patients. Professional knowledge trainings on self-rescue, escape, transferring were given to more than 12000 staffs of the chemical industries, during which corresponding countermeasures were proposed. Results Among the 195 pa- tients, 186 were cured with a curative rate of 95. 36% and 9 died with a mortality of 4. 61%. After the trainings, mass and individual burn victims of the chemical industries can perform the correct first aid and transferring immediately on the spot. Conclusion Early-time performance of the scheduled rescue plan on mass burn can improve work efficiency and the trained staff in the chemical industries can carry out the eorreet first aid and transferring measures on the spot, which ean help win much more precious time for hospital rescue and treatment.
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