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目的:探讨大面积烧伤患者的急诊处理治疗经验方法。方法:2014年10月—2015年10月我院接诊收治的年龄在15岁以上的烧伤面积在50—80%的患者病例资料为研究对象,对患者病例资料进行回顾性分析,总结急诊处理治疗经验,分析治疗效果。结果:102例大面积烧伤患者,救治成功96例,救治成功率94.12%;6例死亡,死亡率5.88%。5例死亡病例中,患者平均烧伤面积74.5%,Ⅲ度面积42%,3例合并中度以上吸入性损伤,1例合并胸、脑外伤,1例合并急性肾衰。结论:在大面积烧伤治疗中,积极抗休克、抗感染治疗为救治关键,加强创面处理与支持治疗是治疗基础,正确处治吸入性损伤为救治成功关键。
Objective: To explore the experience of emergency treatment and treatment of large area burn patients. Methods: From October 2014 to October 2015, the data of 50-80% of patients with burn area above 15 years of age admitted to our hospital from October to October 2015 were retrospectively analyzed and the emergency treatment was summarized Treatment experience, analysis of treatment. Results: Of 102 patients with extensive burns, 96 cases were successfully treated, the success rate of treatment was 94.12%; 6 cases were killed and the death rate was 5.88%. Among the 5 deaths, the average burns area was 74.5%, the third degree area was 42%, three were combined with moderate and severe inhalation injury, one was complicated by thoracic and traumatic brain injury and one was complicated by acute renal failure. Conclusion: In the treatment of massive burn, active anti-shock and anti-infective therapy are the key points for treatment. Strengthening wound treatment and supportive treatment are the basis of treatment. Proper treatment of inhalation injury is the key to successful treatment.