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成批烟花爆竹烧伤的治疗

Clinical treatment of burn patients caused by firecracker
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摘要 目的:探讨成批烟花爆竹烧伤的特点及提高治愈率和预防的方法。方法:对28年来5批共83例烟花爆竹烧伤患者的临床资料进行回顾性分析及总结。结果:①烟花爆竹烧伤的特点:事故发生后受伤人数多,伤情严重,合并吸入伤及复合伤多,创面污染严重;②早期合理的救治,即及时有效的液体复苏,对中重度吸入性损伤坚持早期气管切开,辅以气道湿化、灌洗,保持气道通畅,加强创面处理;合理应用抗菌药物;坚持早期胃肠道营养及重视合并伤诊治,可提高抢救的成功率。结论:烟花爆竹烧伤患者伤情严重,早期合理救治,可以提高治愈率,同时应重视预防工作。 Objective: To discuss the characteristic of the bums caused by firecracker and the way to improve the cruerate. Methods:Retrospective analysis was done based on the data of 5 groups 83 patients caused by firecracker in the past 28 years. Results: ①When an accident happened,usually large number of people were seriously injured and complicated with aspiratory and other complications.②Early and proper treatments,including effective liquid resuscitation,keeping the airway unobstructed,rational use of antibiotics,early trointestinal alimentation and effective treatment of complications,had raised the success rate of salvage. Conclusion:Firecracker burn can cause serious injury,early and proper treatment can raise the curerate.
出处 《中国当代医药》 2009年第16期168-169,共2页 China Modern Medicine
关键词 烟花爆竹烧伤 吸入性损伤 气管切开 Firecracker jury Aspiration injury Tracheotomy
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