抢救大面积烫伤合并早期败血症及多器官衰竭一例报告

• 作 者: 马文熙 黄懋魁 陈怀仁 南正银
• 机 构: 南京铁道医学院附属医院外科,南京铁道医学院附属医院外科,南京铁道医学院附属医院外科,南京铁道医学院附属医院外科,
• 出 处: 南京铁道医学院学报
• 发表日期: 1987年03期
• 关键词: 多器官衰竭 烫伤面积 暴露疗法 磺胺嘧啶银霜 感染性休克 血管扩张药 西地兰 池中 烧伤休克 持续正压给氧

患者,男,21岁,工人。于1984年5月30日下午4时许,掉入温度高达110℃的酒糟池中,没顶约2min,致成烫伤,被救出后在县医院简单处理后转入我院时,距受伤时间已4小时。烫伤面积88％,其中Ⅲ度面积20％,余为浅～深Ⅱ度。入院后清创,行创面暴露疗法,全身行支持、抗感染及注射TAT等治疗。Ⅲ度创面涂擦磺胺嘧啶银霜,创面较干燥,以后肿胀逐步消退。伤后第4天出现早期败血症、感染性休克。经输血及给予血管扩张药、氢化可的松及西地兰等,

Patient, male, 21 years old, worker. On May 30, 1984 at 4 pm, dropped into the temperature of 110 DEG C in the wine distiller’s pool, no top about 2min, causing scalding, was rescued in the county hospital after simple transfer into our hospital, from the time of injury 4 hours already Burns area of ​​88%, of which Ⅲ degree area of ​​20%, the remaining shallow ~ deep Ⅱ degree. Debridement after admission, line wound exposure therapy, body line support, anti-infective and injection TAT treatment. Ⅲ degree of wounds coated silver sulfadiazine cream, wounds more dry, and later swelling gradually subsided. On the 4th day after injury, early septicemia and septic shock appeared. After transfusion and vasodilators, hydrocortisone and cedilanid,