摘要
目的研究瓦斯爆炸烧伤伤情特点，以求提高治愈率。方法通过临床资料回顾性观察，进行分析研究。结果本组患者TBSA为（26±11）％，Ⅲ度伤为（10±5）％；复合伤中吸人性损伤和CO中毒发生率分别为98．8％、51．4％，伤后早期出现精神症状237例；事故现场CO含量在2％-3％以上时，烧伤程度和复合伤明显增加；死亡45例，其中21例（47％）合并多脏器功能衰竭。结论瓦斯爆炸烧伤为烧伤的一种特殊类型；吸人性损伤、CO中毒和早期精神症状是瓦斯爆炸烧伤重要临床特点；伤情越重。并发症越多。
Objective To study characteristics of burn injury caused by gas explosion so as to improve curative rate. Methods A retrospective analysis was done on 346 cases of burn injury caused by gas explosion. Results Burn area in cases at TBSA accounted for （26 ± 11 ） % and those at Ⅲ° for （ 10± 5） %. Incidence rate of inhalation injuries was 98.8% and that of carbon monoxide （CO） poisoning for 51.4%. Mental symptoms occurred in 237 cases. In the scene of gas explosion, CO concentration reached 2%-3% or more, when burn injury severity and combined injuries increased significantly （P 〈 0.01 ）. Conclusions As a special type of injury, burn injury caused by gas explosion has following characteristics, ie, inhalation injury, gas poisoning and early mental symptoms. Severer injury result in more complications.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2007年第11期870-873,共4页
Chinese Journal of Trauma
基金
河南平顶山煤业（集团）有限责任公司科技开发基金资助项目（41040220061116）
关键词
创伤和损伤
烧伤
烟雾吸入损伤
病死率
瓦斯爆炸
Wounds and injuries
Burn injury
Smoke inhalstion injury
Morbidity
Gas explosion
