危重烧伤患者航空转运的时机与条件

Proper time and conditions of aeromedical transportation in critically bum patients

目的探讨危重烧伤患者航空转运（简称空运）的时机与条件。方法笔者参与了18例严重烧伤患者的空运，其中休克期内空运4例、休克期后空运14例。空运前要认真填写转送卡、书写病历摘要。一次转运2例以上患者时，要保证伤情较重者先下飞机。结果每架次空运患者1～6例，空中飞行时间1．5～3．5h，空运距离420～2500km。患者均被安全送达目的地，在进一步治疗过程中，除1例死于多器官功能衰竭外，其余均治愈。结论只要条件允许、准备充分，可以对休克期内的危重烧伤患者实施航空转运。

Objective To analyze the opportunity and condition of aeromedical transportation in critically burn patients. Methods Eighteen severely burn patients were operated by aeromedical transportation. Among them, four patients were transported in the shock stage and fourteen patients were transported after shock stage. Some aspects of treatment were introduced including escharectomy,clinical index, equipment of medicine ,and so on. The transportation card and abstract of case file were recorded carefully before aeromedical transportation. When there were over 2 patients, those with more severe burns received the treatment in the priority. Results Each aeromedical transportation airplane carried 1 to 6 cases, and flied 420 to 2 500 km for 1.5 to 3.5 hours. The patients were safely arrived at destination. Except one died for multiple organ failure, others were cured during further treatment. Conclusion Provide that the conditions were permissive and preparation were adequate,it is safe to carry out aeromedical transportation during shock stage.