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烧伤湿性医疗技术治疗老年烧伤的临床疗效观察 被引量:4
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作者 赵福安 《中国烧伤创疡杂志》 2013年第3期191-192,共2页
目的观察烧伤湿性医疗技术治疗老年烧伤的临床疗效。方法对116例老年烧伤患者创面清创后外用湿润烧伤膏(MEBO)换药治疗,同时配合抗休克、抗感染和营养支持治疗,观察治疗效果并进行回顾性分析。结果 116例患者全部治愈,愈合时间:浅Ⅱ度... 目的观察烧伤湿性医疗技术治疗老年烧伤的临床疗效。方法对116例老年烧伤患者创面清创后外用湿润烧伤膏(MEBO)换药治疗,同时配合抗休克、抗感染和营养支持治疗,观察治疗效果并进行回顾性分析。结果 116例患者全部治愈,愈合时间:浅Ⅱ度创面为8 d~14 d,深Ⅱ度创面为18 d~25 d,Ⅲ度创面为38 d;44例深Ⅱ度创面中5例有瘢痕形成,1例Ⅲ度创面有瘢痕形成。结论烧伤湿性医疗技术使烧伤创面处于生理性湿润环境中,促进了创面的原位再生修复,极大地降低了老年烧伤患者肢体残疾率和瘢痕形成率,是治疗老年烧伤较理想的方法 。 展开更多
关键词 烧伤湿性医疗技术 湿润烧伤膏 老年烧伤 疗效
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Epidemiological and clinical characteristics of burns in the older person:a seven-year retrospective analysis of 693 cases at a burn center in south-west China 被引量:2
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作者 Wei Qian Song Wang +6 位作者 Yangping Wang Xiaorong Zhang Mian Liu Rixing Zhan Yong Huang Weifeng He Gaoxing Luo 《Burns & Trauma》 SCIE 2020年第1期368-379,共12页
Background:Burns are one of the major traumas that may affect older individuals.The purpose of this study was to investigate the epidemiological and clinical characteristics of geriatric burns at a major center in sou... Background:Burns are one of the major traumas that may affect older individuals.The purpose of this study was to investigate the epidemiological and clinical characteristics of geriatric burns at a major center in south-west China.Methods:This retrospective study was conducted at the Institute of Burn Research,Southwest Hospital of Army Medical University between 2010 and 2016,and the data collected from medical records included admission date,age,gender,premorbid disease,burn etiology,injured anatomical location,burn area and depth,inhalation injury,number of surgeries,length of stay(LOS),clinical outcome,and medical cost.Results:Of the 693 older burn patients included,60.75%were male and 56.85%were aged 60–69 years.Burns peaked in December–March and June.Flamewas the most common cause of burns,making up 51.95%of all cases,and also dominated in the burn patients aged 60–69 years.Limbs were the most common anatomical sites of burns(69.41%),and the median total body surface area(TBSA)was 5%(interquartile range[IQR]:2%–15%).The percentage of the patients who underwent surgeries and number of surgeries significantly increased in the cases of contact burns,younger age and full-thickness burns.Six deaths resulted in a mortality of 0.9%.The median LOSwas 16 days(IQR:8–29 days),and the main risk factors were more surgeries,better outcomes,and full-thickness burns.The median costwas 20,228 CNY(IQR:10,457–46,581.5 CNY),and major risk factors included longer LOS,larger TBSA,and more surgeries.Furthermore,compared to the earlier data from our center,the proportion of older adults among all burns(7.50%vs.4.15%),proportion of flame burns(51.95%vs.33.90%),and mean age(69.05 years vs.65.10 years)were significantly higher,while the proportion of premorbidities(16.9%vs.83.9%),mortality(0.9%vs.7.5%)and median TBSA(5%vs.21%)were significantly lower.Conclusions:This study suggested that closer attention should be paid to prevent burn injuries in older people aged 60–69 years,especially males,regarding incidents in the 展开更多
关键词 geriatric burns EPIDEMIOLOGY Outcome Cost Risk factors
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降钙素原监测在老年烧伤患者抗感染治疗中的临床意义 被引量:1
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作者 赵海春 肖荣 +2 位作者 胡东升 王国亮 林国安 《实用医药杂志》 2017年第7期603-605,共3页
目的探讨降钙素原(pro-calcitonin,PCT)监测对老年烧伤患者抗感染治疗的临床意义。方法回顾性分析笔者所在医院近3年收治烧伤面积在50%以下、Ⅲ度面积在30%以下、不合并吸入性损伤的193例老年烧伤患者,按PCT不同水平统计分析其抗生素使... 目的探讨降钙素原(pro-calcitonin,PCT)监测对老年烧伤患者抗感染治疗的临床意义。方法回顾性分析笔者所在医院近3年收治烧伤面积在50%以下、Ⅲ度面积在30%以下、不合并吸入性损伤的193例老年烧伤患者,按PCT不同水平统计分析其抗生素使用、创面细菌培养、血细菌培养、手术治疗及预后情况。结果 PCT水平越高,对应抗生素治疗档次越高;血细菌培养阳性率与PCT水平相关(P=0.007),病死率与PCT水平相关(P=0.004);创面细菌培养阳性率、手术治疗率与PCT水平不相关(P>0.05)。结论 PCT监测是评估老烧伤患者感染严重程度、转归与预后的良好指标,对合理应用抗生素、及时采取措施控制初期感染及判断预后具有重要指导作用。 展开更多
关键词 降钙素原 老年烧伤 抗感染治疗 创面脓毒症
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