成批特重烧伤的临床治疗  

Clinical Therapy of Severe Burn in One Batch

作　　者：吕建中 田畸涛 肖胜利 李庆华 任永强 于爱香 王肖蓉 杨秀婷 申焕霞 

机构地区：[1]河南科学大学附属医院烧伤科,河南洛阳471003

出　　处：《洛阳医专学报》2002年第4期273-275,共3页Journal of Luoyang Medical College

摘　　要：目的　总结救治一批 9人 6例特大面积烧伤病人的治疗经验。方法　临床治疗总结 :早期气管切开 ,休克期大面积切痂、定期更植异体皮 +自体皮浆 ;长期小剂量应用生长激素 ,注意防治并发症及真菌感染。结果　 6例特重烧伤死亡 3例 ,烧伤总面积 /Ⅲ°面积分别是 10 0 / 98;96 / 84 ;95 / 85。合并严重吸入性损伤 ,治愈 3例面积分别为 96 / 91、98/ 92、91/81。结论　休克期治疗液体要补足 ,休克期或提前大面积切痂 ,第 1次切 4 0 %～ 5 0 %TBSA ,单纯移植异体皮 ,择机更植异体皮时再植入自体皮浆或做微粒皮 ,可减少后期并发症。Objective Present paper aims at summing up the experience of treatment of 6 cases with severe burn in 1 batch (9 cases). Methods The experience of clinical treatment was summarized,including early tracheotoy,excision during burn shock stage changing allogentic skin and autologous microskin which was grafted at first time injecting GH at low dose for a long time and emphasising on preventing and curing complications and infection of fungus. Results Three in six severe burned patients died of complicated with inhalation injuries.Their burn sizes were 100/98 96/85 95/84. Conclusion A patients' treatment at shock stage must be in charge of the special doctor,which involved adequate fluid resuscitation,extensive excision of scab at early time or at shock stage (about 40～50% TBSA at once)and grafting allogeneic skin only.The just time is chosen to graft allogeneic skin and autologous microskin skin,and therefore complication can be reduced.

关 键 词：治疗 成批烧伤 休克期大面积切痂 定期更植异体皮 自体皮浆 

分 类 号：R644.05[医药卫生—外科学]