小儿严重烧伤早期抗休克综合治疗对预后的影响

Complex treatment of early anti-shock for children with severe burns

目的 探讨小儿严重烧伤早期抗休克综合治疗对预后的影响。方法 对 2 0 5例小儿严重烧伤临床治疗资料进行回顾性总结 ,16 1例患者早期进行抗休克综合治疗 (A组 ) ,4 4例患者伤后入院较晚 ,平均在伤后 12小时才获得抗休克综合治疗 (B组 )。比较两组患儿的年龄、烧伤面积与深度、治愈率和并发症。结果 A组与B组比较 ,患者年龄、烧伤面积无明显差异 (P >0 0 5 ) ,A组治愈率明显提高 (P <0 0 1) ,主要并发症明显下降 (P <0 0 5或P <0 0 1)。结论 小儿严重烧伤早期抗休克综合治疗明显提高治愈率 ,减少并发症。

Objective To explore the efficacy of complex treatment of anti-shock proceeded at early stage in children with severe burns.Methods Clinical data of 205 cases of severe burns were retrospectively reviewed, in which, 161 cases were given anti-shock treatment at the early stage of burns (group A), 44 cases received anti-shock treatment at 12 hours after burns because of their delayed admission (group B).The age and burn area were comparable between the two groups. The heal rate and complications were analyzed.Results The heal rate in group A was significantly higher than that in group B (P<0.01); the complications was lower in group A than in group B (P<0.01).Conclusion Complex treatment of anti-shock proceeded at early time can improve the heal rate and reduce the complications in children with severe burns.