成批煤矿瓦斯爆炸伤的院前急救  

The effect of early management in extensively gas explosion burned patients

作　　者：邓德柱 

机构地区：[1]兴宁市人民医院,广东兴宁514500

出　　处：《基层医学论坛》2013年第16期2065-2067,共3页The Medical Forum

摘　　要：目的探讨院前急救对成批煤矿瓦斯爆炸伤患者的作用。方法对我院收治的7起瓦斯爆炸烧伤27例患者实施院前急救。结果 27例患者严格实施院前急救流程,包括电话接诊、静脉输液、观察病情、早期正确的现场处理等。经现场急救后全部患者在8 min^32 min安全转入烧伤专科病房,经过及时有效的专科治疗,27例患者中6例死亡,其余患者于伤后16 d^93 d出院。结论实施规范、科学的院前急救是抢救瓦斯爆炸成批烧伤患者的关键,对入院后的救治具有重要意义。Objective To evaluate the effect of early management in extensively burned patients.Methods From 1991.1 to 2010.1,27 cases with extensive burn were implemented the following early management：early and quick fluid resuseitation during shock stage for delayed resuseitation patients;early tracheostomy to assist air passage humidification and lavation for moderate to severe inhalation injury patients.Results The successful rate of treatment was raised,and the incidence of complications and disability decreased in extensively burned patients after implementing early stage treatment principles.Conclusion The application of early principle on extensively burned patients is effeetive and feasible.

关 键 词：瓦斯爆炸 烧伤 成批患者 院前急救 

分 类 号：R644[医药卫生—外科学]