16批烧伤病人的救治体会  

The Realization of Treatment to 16 Batches of Burn Patients

作　　者：汪虹[1] 刘军[1] 严刚[1] 马克娴[1] 

机构地区：[1]昆明医学院第二附属医院烧伤研究中心,昆明650101

出　　处：《昆明医学院学报》2000年第4期76-78,共3页Journal of Kunming Medical College

摘　　要：为进一步做好成批烧伤的防治工作 ,对以往接收和参加救治的 16批烧伤病人进行总结分析 .结果表明 :本地区成批烧伤多发生于缺医少药的基层 ,存在早期补液不充分、多以晶体液为主、创面污染严重、容易忽略吸入性损伤、病人过于集中耽误功能部位的早期手术治疗等特点 .吸入性损伤是第一位致死原因 ,其次是败血症和高钠血症 .认为应建立自上而下的烧伤医疗网络以增加烧伤治疗的覆盖面 ,强调要重视吸入性损伤并改进其现场急救措施 ,转送时补液要充分 ,创面要包扎 ,转到后要注意监测电解质及补充蛋白制品 ,加强创面处理和抗生素的使用 .In order to treat further better burn patients in batches,16 batches of burn patients were analyzed. The clinic materials indicate that in this area burns in batches mostly take place in basic units which are short of treatment and medicine,with the insufficient fluid and serious contamination in wound. Inhalation injury is easily omitted. The burn patients excessively concentrate so as to delay early surgical treatment in functional positions. In all disadvantages,inhalation injury is the first reason for death,then septicaemia and higher-sodium in blood. It is suggested that medical treatment network for burn should be built up at different levels in order to increase the cover of burn cure; simultaneously emphasize on paying attention to inhalation injury and then promote the first aid measures on the spot. In transportation the burn patients should be given abundant fluid infusion; then wound should be wrapped. After arriving at destination,monitor and control electrolyte,supplement nourishment of protein,reinforce the measures in the wound and make proper use of antibiotic.

关 键 词：成批烧伤 临床特点 创面处理 抗生素 

分 类 号：R644[医药卫生—外科学]