290例小儿烧伤的临床处理  

Clinical treatment of 290 cases of pediatric burns

作　　者：黄国雨[1] 王宏伟[1] 晏鹰[1] 陈刚[1] 戴欣[1] 徐纪玲[1] 

机构地区：[1]解放军第四一三医院烧伤整形科,浙江舟山316000

出　　处：《海军医学杂志》2013年第2期109-111,共3页Journal of Navy Medicine

摘　　要：目的总结小儿烧伤的临床综合治疗措施。方法对2008年1月至2011年10月收治的舟山地区烧伤面积为体表面积45%以下的小儿(0～6岁)烧伤患者290例,采取液体复苏、合理创面处理、营养支持等综合治疗措施。结果综合治疗1～2周愈合者254例(87.6%),经换药等处理2～3周自然愈合者16例(5.5%),保守治疗3周不能自愈、经手术植皮愈合者20例(6.9%)。结论小儿烧伤患者经早期及时、有效的液体复苏,尽快封闭创面,并在创面处理及感染防治的基础上加强全身营养支持,可收到满意的疗效。Objective To summarize comprehensive treatment measures of pediatric burns in insular areas. Methods A total of 290 cases of pediatric burn patients （ age from 0 to 6 years old） with a burn area of 45% total body surface area （TBSA） admitted into hospital from January 2008 to October 2011 were treated with comprehensive measures, including fluid resuscitation, reasonable wound surface management and nutritional support. Results Two hundred and fifty-four cases （ 87.6% ） were cured following 1 to 2- week comprehensive treatment, 16 cases （5.5%） naturally healed after changes of dressings 2 to 3 weeks later, and 20 cases （6.9%） which failed to heal naturally after 3 weeks of conservative treatment, were finally cured with skin grafting. Conclusion Through early, in-time and effective fluid resuscitation, early wound closure, wound surface and antibiotic treatment, as well as systemic nutritional support, satisfactory results were achieved in pediatric burn patients.

关 键 词：烧伤 小儿 综合治疗 

分 类 号：R644[医药卫生—外科学]