成批烧伤救治模式的探讨

Discussion of treatment pattern on batch burn patients

目的探讨成批烧伤患者通过早期分流转运、多专业联合的救治模式,提高治疗成功率。方法从现场救治与医疗技术人员前伸、分流救治、休克期治疗、创面处理、全身综合治疗等几个方面,总结了四批共71例成批烧伤的救治经验及体会。结果 71例患者中死亡4例,其中1例腹腔脏器损伤患者于伤后72小时抢救无效死亡;1例患者入院时即昏迷,呼吸循环功能不稳定,伤后第5天死亡;1例患者伤后第17天发展为ARDS,于伤后32天死亡;1例患者因多次拒绝气管切开,于伤后第9天因喉头水肿,突发窒息致心跳呼吸停止,抢救无效死亡。余患者全部治愈出院。结论制定合理的成批烧伤救治模式能够显著提高救治成功率。

Objective To discuss the treatment pattern with early transshipment and multidisciplinary treatment in the batch of burn patients,and improve the success rate of treatment.Methods From the salvage at scene,medical technicians reach,shunt treatment,treatment of burn shock stage,wound treatments,the systemic comprehensive treatment and several other aspects,summed up the two batches of 71 cases of burn treatment experience and experience in bulk.Results 71 patients died in 4 cases,of which 1 patients died of abdominal organ injuries within 72 hours after the injury;1 patients admitted to hospital in a coma,he died of respiratory function instability 5 days later;1 patient died of ARDS 32 days after injury;1 patient refused tracheotomy repeatedly,heart respiratory arrest suddenly caused by laryngeal edema 9days later.The other cases were cured successfully.Conclusion Develop a reasonable treatment mode of mass burn can significantly improve the success rate of treatment.