63例特重烧伤休克期转运的体会  

Transportation of server burn patients with shock

作　　者：周一平[1] 谷才之[2] 杨晓东[3] 牛希华[4] 

机构地区：[1]第一军医大学南方医院,广州510515 [2]兰州军区乌鲁木齐总医院 [3]解放军第159医院 [4]郑州市第一人民医院

出　　处：《解放军医学杂志》2004年第4期362-363,共2页Medical Journal of Chinese People's Liberation Army

基　　金：全军医学科研"十五"计划指令性基金资助课题 (编号 0 1L0 66)

摘　　要：目的　探讨特重烧伤休克期转运的可能性。方法　收集分析近 5年 9批 6 3例伤后 4 8h内转运的特重伤员资料。结果　全部伤员均成功平稳转运 ,除 2例分别于伤后 9、19天死于多脏器功能衰竭外 ,余 6 1例全部治愈。结论　特重烧伤原则上应就地抗休克后转运 ,当治疗条件太差时 ,应迅速补充血容量后在继续补液的同时用快速平稳的运输工具转运。Objective To assess the possibility of the transportation of patients with critical burns during shock stage. Method Data on 9 groups (63 cases) of critical burn patients, who were transferred to burn unit in 48 hours after injury, were collected and analyzed during recent 5 years. Results All of the 63 patients were transported stably and successfully. Sixty-one of them were cured and 2 were died of multiple system organ failure at the 9th and the 19th day post burn, respectively. Conclusions On principle, anti-shock treatment of the critical burn patients should be initiated immediately on the spot before transportation. For the hospitals with limited medical resources, however, it is necessary to transfer the patients to the specialized burn units with speedy and smooth vehicles after rapid fluid resuscitation, and fluid transfusion must be carried out simultaneously during transportation.

关 键 词：烧伤 休克期 转运 

分 类 号：R644[医药卫生—外科学]