烧伤面积大于90%严重烧伤患者26例的救治体会
巴特;陈强;蔡金东;王凌峰;王宏;李俊亮;曹胜军;周彪;侯智慧;闫增强
【期刊名称】《中华损伤与修复杂志(电子版)》 【年(卷),期】2011(006)004
【摘要】Objective To summarize the experience in the treatment of 26burn patients whose burned area were more than 90% total body surface area ( TBSA ), in order to improve the treatment level of severe burn. Methods Twentysix cases of burn patients whose burned area were more than 90% TBSA were collected in Burns Surgery Department of Inner Mongolia Baogang Hospital from January 2000 to June 2010. The experience from shock fluid, wound closure, organ protection and treatment of complications was retrospectivly analyzed and summarized. Results In the 26 cases, there were 15 cases complicated by sepsis, which were accounted for 57. 69%. Eight cases complicated by multiple organ dysfunction syndrome, accounted for 30.77%. Nineteen cases survived, 2 cases got better, 5 cases died. The overall survival rate was 73.08%. Conclusions In the process of burn patients treatment,timely and effective anti-shock is the key and closing the wound as soon as possible is essential. The comprehensive treatment, such as preventing from infection and sepsis,supporting organ function and nutrition, conditioning the environment is the basis.%目的 总结烧伤面积大于90%TBSA的严重烧伤的救治经验,进一步提高对大面积严重烧伤的救治水平.方