摘要
目的探讨对大面积烧伤伤员早期救治的最佳方案。方法对10年来162例大面积烧伤伤员实施"五早"救治方案,即:对延迟复苏伤员在休克期采用早期快速补液复苏;对伴有中重度吸入性损伤者实施早期气管切开,辅以气道湿化、灌洗,保持气道通畅;创面处理坚持早期切痂,并提出了基层医院也可选择地开展休克期切痂的做法;坚持早期胃肠道营养;早期注意功能疗法,将康复疗法贯穿于烧伤治疗的全过程。结果对大面积烧伤伤员应用"五早"救治方案可显著提高救治成功率,并减少并发症和伤残率。结论大面积烧伤伤员实施"五早"救治方案是有效的和可行的。
Objective To evaluate the effectively principles of ear menagement in extensive burned patients.Methods From 1990 to 1999,162 cases with extensive burn were implemented the following principles of early management:early and quick fluid resuscitation during shock stage for delayed resuscitation patients;early tracheostomy to assist air passage humidification and lavation for moderate to severe inhalation injury patients;escharectomy and grafting performed during early stage and experiences of escharectomy during shock stage in basic hospitals presented;emphasizing early stage enteral nutritional support and rehabilitation treatment.Results The successful rate of treatment was raised,and the incidence of complications and disability decreased in extensively burned patients after implementing early stage treatment principles.Conclusion The application of'Five- early principle'on extensively burned patients is effective and feasible.
关键词
烧伤
救治
burns treatment
