爆炸致冲烧毒复合伤的特点和紧急救治体会  

Characteristics and clinical cure 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,重庆400042 [3]解放军军事医学科学院,北京100850

出　　处：《创伤外科杂志》2003年第5期344-346,共3页Journal of Traumatic Surgery

基　　金：解放军总装备部卫生局重点指令性攻关课题(2 0 0 0 10 30 6 )

摘　　要：目的　探讨爆炸致冲烧毒复合伤的特点和紧急救治策略。方法　总结 1994年 4月以来 ,5次参加抢救 12例爆炸致冲烧毒复合伤伤员的临床救治体会 ,并结合作者引用国内外公开发表的有关文献进行分析。结果　 12例爆炸冲烧毒复合伤伤员 ,死亡 8例 ,其中 7例死于致伤现场 ,1例死于后期的严重多器官功能衰竭 ,病死率高达 6 6 .6 6 %。结论　爆炸致冲烧毒复合伤是一种极难抢救的伤类 ,主要是难以诊断、难以把握救治时机。预防是最好的处理方法 ,一旦发生 。Objective To investigate the characteristics and clinical rescue of chemical burn blast combined injury.?Methods This review was based and derived from our previous researches and military related clinical rescue experiences,and on the correlated international research.?Results In 12 cases,8 cases died,in which 7 cases died on the spot and the other one died from severely MOF. The total mortality ratio is 66.66%.?Conclusion Chemical burn blast combined injury is a difficult medical problem. It is difficult to diagnose and to give proper treatment on the early stage. To cope with this combined injury,the best way is to establish an effective clinical rescue strategies and synthetic treatment.

关 键 词：爆炸伤 复合伤 紧急救治策略 冲击伤 烧伤 综合治疗 

分 类 号：R642[医药卫生—外科学] R644[医药卫生—临床医学]