烧伤休克期一次上止血带削痂的临床应用  

A clinical experience of tourniquet scab tangential excission once in burn shockstage

作　　者：谭昶[1] 王智强[1] 张建林[1] 刘恬[1] 刘海涛[1] 

机构地区：[1]萍乡市人民医院烧伤科,萍乡337055

出　　处：《江西医药》2003年第6期388-389,共2页Jiangxi Medical Journal

摘　　要：目的探讨烧伤休克期采用一次上止血带削痂手术方式的应用。方法A组(25例)为休克期采用一次上止血带削痂的病例,B组(32例)为自1995年以来随机抽取的休克期后采用传统操作方法的病例,对比两者之间手术时间、出血量及并发症率。结果A组手术时间比B组减少了38%(P<0.01),出血量比B组减少了66%(P<0.01),并发症发生率减少了38%。结论烧伤休克期采用一次上止血带削痂方法,可缩短手术时间,减少出血量,减轻对机体的打击,使休克期手术能平稳渡过,使休克期手术能在临床广泛应用。Objective To explore the methods of tourniquet scab tangential excission once in burn shock.Methods25cases(group A)burn patienits in shock stage since1999were treated with tourniquet scab tangential excission once.The were retrospectively compared with32burn patients(group B)in same stage since1995in our hospi-tal.The operation time,quantity of blood lose during operation and complicated septecemia were com-pared between two groups.Re sults The operation time,quantity of blood lose and complicated septe-cemia were decreased38%,66%and38%in group A,there were significant difference betweew group A and group B(P<0.01).Con clu sions Tournique scab excission is an ideal method of operation in burn shock stage.

关 键 词：烧伤 休克期 一次上止血带削痂 临床应用 

分 类 号：R644[医药卫生—外科学]