民族地区糖皮质激素在小儿烧伤休克期的临床应用研究

目的:探讨民族地区小儿烧伤的特点及糖皮质激素在小儿烧伤早期防治休克的意义。方法:选取的是我院烧伤科2015年9月至2017年4月共收治烧伤患儿68例,部分在伤后应用糖皮质激素,观察患儿的神志,生命体征及其并发症。结果:我州位于山区,属民族地区,经济欠发达,交通相对不便,患儿烧伤病情常较重,病员转运相对困难,延迟复苏患儿较多;应用糖皮质激素的患儿基本平稳度过休克期,并发症少;而未用糖皮质激素的患儿休克期度过欠平稳,并发症相对较多。结论:糖皮质激素在小儿烧伤早期应用有利于烧伤休克的防治,能减少烧伤并发症,但应用原则应该是小剂量,短疗程,尽早应用。

Objective:This article is to investigate the characteristics of infantile burn in ethnic minority areas and the significance of glucocorticoids in the shock prevention at early stage.Methodology: 68 cases of infantile burn in our department were selected, some of which were treated with glucocorticoid. The investigation was conducted through the observation of these burned children’s consciousness, vital signs and complications.Outcome: Liangshan, located in the mountainous area, is one of the minority areas, the economy is underdeveloped and the traffic is comparatively inconvenient. Hence it is also comparatively difficult to carry the burned children to hospital when they are seriously burnt, which lead to more late recovery cases. In the selected cases, it was observed that the burned children treated with glucocorticoids recovered steadily from shock with few compliations while the others recovered not so steadily and with more complications,Conclusion: Glucocorticoid applciation in early treatment of infantile burn is effectively helpful, it can mitigate the burn complications. But the application should be small dose and short treatment course in the early stage.