批量“冲烧毒”复合伤伤员的致伤特点和现场抢救策略  

Characteristics and Clinical Rescue of Chemical-burn-blast Combined Injury

作　　者：岳茂兴[1] 杨志焕[2] 魏荣贵[1] 马华松[1] 夏亚东[3] 黄韶清[3] 

机构地区：[1]解放军第306医院,北京100101 [2]第三军医大学野战外科研究所 [3]解放军军事医学科学院

出　　处：《伤残医学杂志》2003年第3期5-7,共3页Medical Journal of Trauma and Disability

基　　金：解放军总装备部卫生局重点指令性攻关课题No.200010306

摘　　要：目的:探讨批量“冲烧毒”复合伤伤员的致伤特点和现场抢救策略。方法:结合我们已进行的大量相关实验研究和1994年4月以来,5次参加抢救101例爆炸伤患者的临床救治体会,并引用国内外公开发表的有关论文及著作。结果:101例共死亡8例,其中7例严重的爆炸伤伤员死于致伤现场,1例伤员死于后期的严重并发症MOF。病死率为6.9％。12例“冲烧毒”复合伤伤员,死亡8例,总病死率高达66.66％。结论:“冲烧毒”复合伤是一种最难急救的伤类,其核心是难以诊断,难以把握救治时机。预防是最好的处理方法,一旦发生,快速正确的应急救援和综合治疗是至关重要的。Objective: To investigate the characteristics and clinical rescue of chemical-burn-blast combined injury. Method: This review was based and derived from our previous researches and military related clinical rescue experiences, and on the correlated international research papers. Results: 7 patients were died on the spot and one patient was died from severe MOF. The mortality ratio was 6.9%. 8 patients were died from the 12 chemical-burn-blast combined injury cases. The total mortality ratio was 66.66%. Conclusion: Chemical-burn-blast combined injury was a difficult medical problem. It was difficult to diagnose and give proper treatment on the early stage. To cope with this combined injury, the best way should establish an effective clinical rescue strategy and synthetic treatment.

关 键 词：批量伤员 “冲烧毒”复合伤 致伤特点 现场抢救 并发症 

分 类 号：R64[医药卫生—外科学]