休克期切痂对烧伤并发症防治作用的临床分析  

The clinical study of escharectomy in shock phase in coping with burn complications

作　　者：孙要文[1] 张振信[1] 杨旅军[1] 陈秦吉[1] 刘晓军[1] 

机构地区：[1]陕西省人民医院烧伤整形科,西安710068

出　　处：《临床外科杂志》2002年第5期288-289,共2页Journal of Clinical Surgery

摘　　要：目的　探讨烧伤休克期切痂可行性及对并发症的防治作用。方法　对 3 7例大面积烧伤休克期切痂植皮及 42例非休克期切痂植皮患者 ,在脓毒症发生率、内脏并发症、多器官功能障碍 (MODS)的发生率、死亡率及愈合时间多个方面进行比较分析。结果　 3 7例休克期切痂植皮患者术后病情均稳定 ,脓毒症发生率、内脏并发症、MODS的发生率、死亡率低于非休克期切痂植皮组 ;休克期切痂植皮组较非休克期切痂植皮组愈合时间缩短。结论　休克期切痂植皮是治疗大面积烧伤的一种有效可行的方法 。Objective To study the availability of escharectomy in shock phase and its role in preventing complications.Methods To make an analysis between the escharectomies and skin grafting of 79 cases in or beyond shock phase in the incidence of sepsis,visceral complications,MODS,mortality,healing time and the expenditure.Result The cases of the early operations revealed much better consequences than those performed beyond shock phase.Conclusion The escharectomy in shock phase proves to be available and significant in reducing post burn complications.

关 键 词：休克期切痂 烧伤 并发症 防治 临床分析 

分 类 号：R644[医药卫生—外科学]