糖尿病患者烧伤46例的临床特点及治疗体会

Clinical characteristics and treatment experience of burns in 46 diabetes patients

目的探讨糖尿病患者烧伤的临床特点和治疗体会，提高糖尿病患者烧伤的治愈率。方法对甘肃省人民医院烧伤整形科近5年来收治的46例糖尿病烧伤患者的一般资料，以及补液抗休克、控制血糖、手术和对症支持的综合疗法进行回顾性分析。结果所有患者经3—7d空腹血糖均下降至10mmol／L以下，28例手术患者空腹血糖下降至8mmol／L以下；除1例病情较重并发多器官功能障碍综合征死亡外，其余均治愈，治愈率达97．8％；46例中26例出现并发症，发病率为56．5％。结论糖尿病患者烧伤病情复杂，全身结合局部的综合性治疗是治愈糖尿病烧伤患者的有效方法。

Objective To explore clinical features and therapeutic experience of burns of diabetes patients, for enhancing the curative rate of this diease. Methods The clinical data including the general condition and antishock,blood glucose controlling, surgery, symptomatic and supportive treatments of burns in 46 diabetes patients were analyzed. Results During three to seven days, the fasting plasma glucose of all patients dropped to below 10 mmol/L, and it dropped to below 8 mmol/L in 28 surgical patients. All patients were cured except one died in a bad way occurring multiple organ dysfunction syndrome, and the curative rate reached to 97.8%. Complications occurred in 26 cases and the incidence was 56.5%. Conclusion The burns in diabetes patients are very complicated. It is being effective to combine systemic with local treatments for the condition.