严重烧伤事故批量患者的救治

Treatment of mass casualty in severe burn accident

目的探讨群体烧伤救治和急救流程模式。方法回顾性分析2008年至2015年内蒙古医科大学第三附属医院收治的群体烧伤68例患者的治疗,其中,男性62例,女性6例;年龄21.4~62.1岁,平均(36.5±5.6)岁。烧伤面积2%~98%TBSA。受伤至入院时间均<8h,对治疗效果进行总结分析。结果 68例患者治愈67例,死亡1例,治愈率98.5%。从总指挥下达抢救命令至各个组人员就位平均时间8.8 min,分流组平均接诊时间4.5 min,专科抢救开始平均18.6 min,重症烧伤患者平均深静脉通路建立时间约11.3 min。结论通过实施群体烧伤急救模式,建立完善的组织指挥机构、合理的抢救流程、充分利用整个医院的医护和后勤保障资源,使烧伤患者获得科学合理的院前急救分流和治疗。

Objective To explore treatment of burns and the model of emergency rescue for mass burn accident. Methods Retrospectively analyzed 68 cases of burn patients treated were treated with emergency rescuing mode for mass burns in our hospital from 2008 to 2015. Among them,62 patients were male and 6 patients were female. Mean age of the patients was 36. 5 ± 5. 6 years( range from21. 4 to 62. 1years). TBSA ranged from 2% to98%. The prehospital time was less than 8 h. The treatment effect was analyzed. Results In 68 cases,67 cases were cured,1 cases died. The cure rate is 98. 5%. The average start-up time of every rescue group in place was 8. 8 min. The average reception time of shunt group was 4. 5min. The average start-up time of burn specialist rescue was 18. 65 min. The average time of deep vein puncturing was 11. 3 min. Conclusions Through the implementation of emergency rescuing mode in mass burns,burn patients got a scientific and reasonable prehospital triage and treatment.