小儿烧伤入院前处理分析

THE TREATMENT ANALYSIS OF CHILDREN WITH BURN BEFORE ADMISSION

目的:分析小儿烧伤入院前处理对治疗及转归的影响。方法:回顾分析302例小儿烧伤患者入院前补液量与并发症的关系,以及入院前创面处理与住院时间、并发症、转归的关系。结果:入院前轻度和中度烧伤组补液与未补液仅2例(0.90%)发生休克,重度和特重度烧伤组未补液组、补液量不足1/3总量组、补液量超过1/3总量组休克发生率分别88.24%、55.56%、3.85%(P<0.01);入院前创面用自来水冲洗82例,未作任何处理142例,不正确处理78例,平均住院时间分别为(7.5±2.0)d,(11.3±1.6)d,(15.1±2.3)d(P<0.01),并发症的发生率分别为10.0%、11.97%、26.92%,愈合和好转率分别为98.75%、95.77%、92.30%(P<0.01)。结论:小儿烧伤后正确的院前处理对治疗和预后有重要意义。

Objective:To Analyze the effects of treating the children with burn before admission on the treatment and transform in order to offer the best ways to treat the burned children before admission . Methods:302 cases of burned children from January 2000 to April 2004 were retrospectively analyzed including the relationship between the wound management-transfusion before admission and time of hospitalization-complications . Results:After burn the light and moderate burn group together only 0.90 % occurred shock. The rates of shock were 88.24 %?55.56 % and 3.85 % for 0, 0-1/3, and more than 1/3 of total quantity of transfusion respectively (P<0.01) among the severe burn and very severe burn group. Average hospitalization time were(7.5±2.0) days,(11.3±1.6) days and (15.1±2.3) days for wound management washed by water, nothing to do and incorrect management respectively before admission (P <0.01). The rates of complication were 10.0 %,11.97% and 26.92 %;the rates of cured and improved were 98.75 %, 95.77 % and 92.30 % (P<0.01) respectively. Conclusion:The correct treatment of burned children before admission has important significance for therapy and prognosis.