摘要
目的探讨成批烧伤合并复合伤伤员早期分流转运、多专业联合救治的经验,提高救治成功率。方法回顾分析新疆维吾尔自治区人民医院2008年至2010年收治的5批50例烧伤合并复合伤伤员的临床资料,采取积极分流转运、早期气管切开、及时有效的液体复苏、防治感染、保护脏器功能、营养支持以及修复创面等综合措施救治上述伤员。结果伤员的抢救组织严密,应用飞机包机转运分流过程安全顺利。本组伤员中1例伤后4h死于重度肺爆震伤,1例伤后6h死于重度颅脑损伤,2例分别于伤后33d、40d死于全身多脏器功能衰竭,46例顺利治愈出院。结论多专业联合救治可以提高烧伤合并复合伤患者的诊断和救治成功率。制定合理的成批烧伤救治应急预案,配备有力的后勤保障以及政府部门的重视和大力支持有助于提高成批伤员的救治成功率。
Objective To discuss the experience with early transshipment and multidisciplinary treatment in the batch of burn patients with combined injuries, and improve the success rate of treatment. Methods Clinical data of 5 batches of 50 burn patients with combined injury in Xinjiang Uygur Autonomous Region People’s Hospital from 2008 to 2010 were reviewed and analyzed. The active transshipment, early tracheotomy, timely and effectively fluid resuscitation, infection prevention, organ function protection, nutritional support and wound repairing were applied on these patients. Results The wounded rescue was well organized, and the aircraft transshipment was done smoothly. One case died of severe pulmonary blast injury 4 h later, and one case died of severe traumatic brain injury 6 h later. Two cases died of multiple organ failure 33 d and 40 d later, and other 46 cases were cured successfully.Conclusions Early transshipment and multidisciplinary treatment can improve the success rate of diagnosis and treatment for burn patients with combined injuries. Making reasonable emergency plan, with powerful support from government departments is helpful to improve the success rate of treatment for the wounded in batches.
出处
《中华损伤与修复杂志（电子版）》
CAS
2012年第4期33-35,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
成批
烧伤
综合疗法
Batches
Burns
Combined modality therapy
