亚热带地区69例战伤褥疮防治的调查

Bed Sores from War Injuries in Subtropical Areas: Study of 69 Cases

目的研究亚热带地区战伤褥疮的防治。方法调查该地区自卫反击战中69例战伤褥疮的病历资料和走访当年参加救护的医务人员。结果69例伤员发生褥疮118处,Ⅰ期褥疮17处、Ⅱ期褥疮43处、Ⅲ期褥疮58处;褥疮发生部位以骶尾部最多;发生时间在5d以内占55.1%;发生场所主要在师医院和一线医院;褥疮100d内治愈达98.3%。结论战伤褥疮防治的关键在于采取积极有效的防治措施,建立“四早”和“七勤”制度。

Objective To study the prevention and treatment of bed sores resulting from war injuries in subtropical areas.Methods Records of 69 cases of bed sores from war injuries in the Self-Defense War against Vietnam were analyzed retrospectively and medical care officers participating in the war were interviewed to learn the situations at that time.Results Of 118 bed sores in 69 patients investigated,17,43 and 58 bed sores were in stageⅠ,stageⅡ and stageⅢ,respectively.The sites prone to bed sores were mostly in the sacrococcygeal area.55.1% of the sores developed in the first 5 days of war injuries.Most of them occurred in division and frontline hospitals.98.3% of the bed sores healed within 100 days.Conclusion The key the prevention and treatment of bed sores resulting from war injuries is to make effective efforts,establish regulations and follow them strictly.