摘要
总观我军４０年来（１９５８～１９９８）烧伤救治研究工作的成绩、进展和经验，为进一步开展烧伤救治研究工作提供参考依据。收集了全军１９９３～１９９８年（简称第３阶段）２８个单位收治的４８０８５例烧伤病人进行分析，并与前两阶段（第１阶段，１９５８～１９７９年，１６个单位４８９７８例；第２阶段１９８０～１９９２年，２９个单位６４３２０例）的分析结果进行对比。结果表明，４０年来，我军烧伤救治工作总的来说成绩显著，进步迅速，但早期（第１阶段）进步较快，随后（第二阶段以后）进步较慢，表现在第３阶段在烧伤早期处理质量虽有明显进步，但总的治愈水平未有明显提高。对此进行了讨论，认为该结果符合治疗的一般规律，先快后慢，先易后难。分析结果还表明，自第２阶段以后烧伤主要死亡原因为内脏并发症、吸入性损伤和全身性感染，以内脏并发症为最多。认为主要是烧伤早期，尤其是严重休克和吸入性损伤等所致的缺血、缺氧和内毒素的损害所致。因此认为如何减少或避免烧伤早期损害仍是当前烧伤救治研究的主要攻坚课题。
Object To evaluate the progress and experience in treatment of burn patients achieved in Chinese army institutes and hospitals in the past forty years(1958￣1998) so as to bring forth ideas for further researches in the realm of burn surgery. Methods 48085 burn patients treated in 28 army institutes and hospitals during the years 1993￣1998(named as third period) were collected and analyzed, the results of which were compared with that of the first periol(48978 cases treated in 16 army institutes and hospitals during the years 1958￣1979) and the second period (64320 cases treated in 29 army institutes and hospitals during the years 1980￣1992). Results and conclusions As a whole, there were prominent achievements and rapid progress in burn surgery in the army medical institutions in the past 40 years (1958￣1998). However the progresses varied in difterent periods. The progress was rather fast in the early stage (first period). After that, the progress slowed down, as evidenced by the lack of significant improvement in the general survival rate of burn patients in the third period compared with that of the second, although the quality of early treatment was prominently improved in the third periol. The analyzed results also indicated that the main causes of burn death were multiple organ failure, inhalation injury and infection, among which the incidence of multiple organ failure stood foremast. The insults sustained during the early burn stage, especially those caused by hypoxemia from severe burn shock, inhalation injury, and endotoxin derived from burn wound and gut translocation were accused to be predisposing causes. Therefore it is suggested that how to protect the body from damages in the early burn stage is the most urgent problem in the burn research at present.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1999年第4期251-255,共5页
Medical Journal of Chinese People's Liberation Army
