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综合治疗措施进一步在大面积烧伤治疗中的应用

方林森 胡德林 汪昌荣 王永杰

中国现代医学杂志2004,Vol.14Issue(2):46-49,4.
中国现代医学杂志2004,Vol.14Issue(2):46-49,4.

综合治疗措施进一步在大面积烧伤治疗中的应用

Clinical application of the synthesized treatment measure that further improved in extensive burned patients

方林森 1胡德林 1汪昌荣 1王永杰1

作者信息

  • 1. 安徽医科大学第一附属医院,烧伤科,安徽,合肥,230022
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摘要

Abstract

Objective:To sum up the experience of early management in extensively burned patients, to raise cure rate further. Methods :84 extensively bumed patients (body's area burned exceeding 50% TBSA) were retrospectively studied in our department from 1990 to 2002. Patients were divided into two groups according to whether they suffered it before or after January 1,1996. New measures were extensively applied after 1996. These measures consisted of rapid and adequate fluid resuscitation, early gastrointestinal feeding and micro - skin autografi after extensive eschar excision in one operation. Results:The incidences of sepsis and MODS were 37.2% and 20.9% respectively after 1996, wihch were evidently lower than those of the other group. Difference was significant between two groups (P<0. 05 ) . The wound healing time was cut short and hospitalization time was shortened after 1996. Difference had statistical meaning. Conclusions:The new therapy can reduce the incidence of complications, shorten the course of treatment and increase the cure rate.

关键词

大面积烧伤/治疗/治愈率

Key words

Extensive burn/Treatment/Cure rate

分类

医药卫生

引用本文复制引用

方林森,胡德林,汪昌荣,王永杰..综合治疗措施进一步在大面积烧伤治疗中的应用[J].中国现代医学杂志,2004,14(2):46-49,4.

中国现代医学杂志

OA北大核心CSTPCD

1005-8982

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