摘要
本文报告一例36岁男性病人,为工业污水烫伤周身,总面积95％,其中深Ⅱ°～Ⅲ°面积达75％,伴休克,重度吸入性损伤。伤后1小时入院,经抢救,休克期度过平稳。但于伤后第9天,病情恶化,出现败血症,中毒性心肌炎,呼吸功能衰竭。伤后12天并发胃肠及肝功能衰竭,经抗生素、强心、改善缺氧、维护脏器功能及植皮手术等综合措施治疗,至伤后85天创面全部愈合,112天康复出院,6～9个月随访,四肢功能正常,双下肢疤痕呈花斑状,软薄有弹性,无关节挛缩。
A patient severely scalded in 120℃ boiling pool, involving 95% BSA, with 20% superficial 2nd degree, 35% deep 2nd degree and 40% 3rd degree burns and complicated by severe inhalation injury smoothly passed the shock stage after emergency treatment. 9 days post injury, septicemia with Staphylococcus aureaus and B. coli, respiratory failure and toxic myocarditis happened. After administration of antibiotics in large doses together with expectant treatment, the patient turned better. But on the 12th day post injury, hepatic insufficiency, icteric sclera and electrolyte disturbance
occurred. After expectant and liver-protecting treatment, the patient's condition became smooth and the superficial wounds healed in 19 days post injury. After skin grafting for 3 times, the wounds healed in 85 days post injury. The patient was discgarged from the hospital on the 112th day post injury. Follow-up observations were made for 9 months. The functioning of the four extremities recovered well. There were versicolor scars soft and good in elasticity, in the lower extremities. No joint contracture occurred. The patient was treated with MEBO in the whole treating course.
出处
《中国烧伤创疡杂志》
1993年第3期20-21,10-64,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
