苯酚灼伤并发中毒的临床处理研究

Clinical Treatment of Phenol Burns Complicated by Poisoning

目的探究分析苯酚灼伤并发中毒的临床救治处理对策。方法方便收集2015年2月—2016年2月广州中山大学附属第一医院收治的87例苯酚灼伤并发中毒患者临床救治相关资料,回顾分析其临床症状和救治、护理方法、治疗效果。结果 87例患者有84例在伤后0.50-2 h内出现全身性中毒症状,灼伤面积越大,持续时间越长患者中毒症状越严重,全身10.00%以上灼伤患者肝肾功能受损较为严重;临床救治方法主要有创面处理、碱化尿液、利尿剂、补液、手术以及血液净化处理等;临床护理内容有创面护理、心理护理、呼吸通道护理、健康教育和饮食护理等;87例患者中有1例抢救无效死亡（无法行手术救治,发生急性肾衰而死亡）,86例成功治愈,在治疗1-4周后治愈出院。结论苯酚灼伤极易引起全身中毒,需及时采取对应的救治处理,排出毒物,同时实施系统护理。

Objective To explore the phenol burns concurrent analysis of clinical treatment of poisoning Countermeasures.Methods Selected from the hospital in February 2015- February 2016 87 cases of burns hospital phenol poisoning patients receiving concurrent, Recalling its clinical treatment related information, their clinical symptoms and treatment, care, treatment effect. Results 87 patients, 84 cases of systemic poisoning symptoms after injury within 0.50 - 2 h, the greater the burn area, the longer the duration the more severe in patients with symptoms of poisoning, the body burns more than10.00% in patients with impaired liver and kidney function is more serious; clinical treatment methods include wound treatment, alkaline urine, diuretics, rehydration, surgery and blood purification treatment; clinical care content wound care, psychological care, breathing passages care, health education and dietary care; 87 patients had 1 cases died（no surgical treatment, acute renal failure and death） in 86 patients successfully treated in 1 ~4 weeks after treatment cured）. Conclusion Phenol burns easily cause systemic poisoning, the need for timely take corresponding treatment process, discharge poison,while the implementation of the system of care.