爆炸致冲烧毒复合伤的特点和紧急救治体会

Characteristics and clinical cure of chemical-burn-blast combined injury

目的 探讨爆炸致冲烧毒复合伤的特点和紧急救治策略。方法 总结 1994年 4月以来 ,5次参加抢救 12例爆炸致冲烧毒复合伤伤员的临床救治体会 ,并结合作者引用国内外公开发表的有关文献进行分析。结果 12例爆炸冲烧毒复合伤伤员 ,死亡 8例 ,其中 7例死于致伤现场 ,1例死于后期的严重多器官功能衰竭 ,病死率高达 6 6 .6 6 %。结论 爆炸致冲烧毒复合伤是一种极难抢救的伤类 ,主要是难以诊断、难以把握救治时机。预防是最好的处理方法 ,一旦发生 。

Objective To investigate the characteristics and clinical rescue of chemical burn blast combined injury.?Methods This review was based and derived from our previous researches and military related clinical rescue experiences,and on the correlated international research.?Results In 12 cases,8 cases died,in which 7 cases died on the spot and the other one died from severely MOF. The total mortality ratio is 66.66%.?Conclusion Chemical burn blast combined injury is a difficult medical problem. It is difficult to diagnose and to give proper treatment on the early stage. To cope with this combined injury,the best way is to establish an effective clinical rescue strategies and synthetic treatment.