贵州医科大学学报

1988, (02) 313-317

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烧伤1738例治疗总结
A CLINICAL STUDY ON THE TREATMENT OF 1738 CASES WITH BURN

李嘉琥;陈荣华;刘宁;刘伍生;
Li Jiahu,Department of Burn Surgery

摘要(Abstract):

本文将1976~1986年收治的1738例烧伤病人,分成两阶段作疗效比较,后5年有所提高。分析原因是:休克期补液的质和量更为合理,创面使用 SD—Ag,及时修复创面,改善营养状况。
From 1976 to 1986,1738 cases with burn were treated in our department. The overall survival rate was 92.6%,among which the BSA burned over 70%(third degree 40%),it amounted to 37.8%.These eleven years were divided into two periods;the 1976—1981 period and the 1982—1986 period,and these statistics were collected respectively.We found that the survival rate went up some- what higher in the 1982-1986 period.After analysis,we believed that it was surely related to the following factors:1.The replacement fluids,for the resuscitation from burn shock,were more rational physiologically,both in quality and in quantity,in the J982-1986 period than that infused in the 1976 —1981 period.2.Silver Sulfadiazine,used as a topical agent,was an effect- ve bacteriostatic drug to prevent the occurrance of wound sepsis and thereby the development of septicemia.However,both wound sepsis and septicemia rae the main causes of death of the extensive cases of burns nowadays.3. Escharectomies and skin graftings for third degree wounds were performed more carefully and timely.4.More attention was paid to the patients' nutrition.

关键词(KeyWords): 烧伤;;休克;;感染;;营养
Burns;;Shock;;Infection;;Nutrition

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作者(Author): 李嘉琥;陈荣华;刘宁;刘伍生;
Li Jiahu,Department of Burn Surgery

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