老年烧伤

BURN OF THE AGED

由于医学的进步,生活的改善,高龄人群逐年增加,老年烧伤亦随之增加,一些文献报告烧伤老人住院占总烧伤病人的3～16％,最高为Zo”Ch达21.8％,池田报告10年间增加31.4倍。老年年龄的限定:国外由60岁65岁到70岁,国内均为60岁,对流行病学进行了介绍,高龄烧伤死亡率高,由此介绍了烧伤指数、烧伤严重单位和烧伤予后指数,以为老年予后的评估。对老年烧伤的管理分别为:一、呼吸道烧伤的处理与肺炎关系。二、输液疗法。三、多用药。四、手术对早期切痂不同观点进行了介绍。五、控制感染。六、营养。七、护理。最后三部分分别为高龄烧伤的予后;老年病人死亡原因与原有疾病关系。最后根据烧伤湿润暴露疗法,湿润烧伤膏的特点,对老年烧伤病人应用的可能性进行了讨论。

Advances in medical sciences and improvement of living standard result in a growth of the population of the old age. The incidence of burn of the aged increases. Old burn patients amount to 2 to 16% of the total hospitalized burn patients. The mortality of the burn of the aged is higher. In this paper, burn index, burn severity index and burn prognotic index are introduced for assessment of the prognosis of the burn of the aged. The management of the burn of the aged includes: 1. The relation of the incidence of pneumonia and the treatment of respiractory tract burn. 2. Parenteral fluid therapy. 3.Drug administration. 4. Early excission of the scar. 5. Infection control. 6. Nutrition support and 7. Nursing. In this paper, recent advances in the treatment of the burn of the aged, the causes of death and the relation of death with previous diseases are discussed and finally, a discussion is made on MEBT and MEBO and the possibilities and features of the application of MEBT and MEBO for treating burns of the old patients.