1567例烧伤病人应用湿润暴露疗法救治的临床概况分析

CLINICAL ANALYSIS OF 1567 CASES OF BURN TREATED WITH MOIST EXPOSED THERAPY

自1988年8月—1989年8月、我们收集了东北地区的16个医疗单位采用湿性疗法治疗烧伤病人1567例,其中治愈1499例、死亡68例、死亡率为4.34％;烧伤总面积超过50％者108例、治愈69例、治疗率为63.89％。本组,男女比例为18:1;发病年龄2月—87岁,最高发病为20—40岁,共438例、占总数27.95％;重度烧伤总面积在31—49％者192例,特重度50—100％者108例,总面积在80％以上者11例;合并症中最多为肺水肿、32例,其次为耳软骨炎30例;合并伤有25例均得以救治,未留后遗症。本组热力致伤1423例占90.81％。经过临床应用及干湿两法对比,得出湿性疗法在烧伤休克、全身感染并发症的发生率及其程度、死亡率等方面均较干性疗法有明显的下降;在治愈率、致残率上明显地优于干性疗法。

1567 cases of burn were treated with moist exposed therapy, during the period from August 1988 to August 1989, in 16 medical units in North-east China. 1499 cases healed, 68 cases di-ed(death rate: 4.34%). Among the 108 cases with burn area exceeding 50%TBSA, 69 cases were healed (healing rate : 63.89%). Sex ratio: male / female= 18/1. Age range 2 months to 87 years. The highest incidence was with in in the age range of 20 to 40 years 438 cases fell into this age range, 27.95% of the total. Bu n area: 192 cases with severe burn, burn area 31 49% TBSA. 108 cases with exceptionally severe burn, among which 11 cases with total burn area exceeding 80%TBSA. Complications: 32 cases complicated by pulmonary edema, 30 cases by auriculo-chondritis and 25 cases by other injuries. All the patients cured without any sequelae. 1423 out of the 1 567 cases were thermally injured(90.81 %). Comparison had been made between the clini- cal results of the moist and the dry therapies. It re-vealed that the moist therapy had its advantages of lower incidence of shock, systemic infection and other complications, lower disablement and death rate and higher curative rate.