郑庆亦 蔡少甫 陈锦河 郑健生 邹紫红 蔡林碧珍 福建省漳州市解放军第一七五医院烧伤科 363000 中华整形烧伤外科杂志 1999 0 15 4


    关键词：成批烧伤；早期救治 期刊 zhzxsswkzz 0 成批烧伤的救治 fur -->


    

【摘要】 目的 探讨“四早”救治方案在成批严重烧伤病人救治过程中的可行性。方法 对12年内18批155名烧伤病人实施“四早”救治方案，即：对延迟复苏者休克期采用早期快速液体复苏；对中、重度吸入性损伤坚持早期气管切开，辅以气道湿化、灌洗，保持气道通畅；对深度大面积烧伤从休克期开始有计划地施行切(削)痂植皮；坚持早期胃肠道营养。结果 成批严重烧伤病人应用“四早”救治方案后，显著地提高了救治的成功率并减少了并发症。结论 对成批严重烧伤实施“四早”救治方案是有效可行的。

Implementation of “ four-early principle” to raise the successful rate inmass burn casualties

ZHENG Qingyi, CAI Shaopu, CHENJinhe, et al.The Department of Burns, the 175th Hospital of People's Liberaton Army,Zhangzhou 363000

【 Abstract 】 Objective To evaluate the feasibility andresult of “ four-earlyprinciple” in thetreatment of mass burn casualties. Methods During the last 12 years, a total of 155 burn patientswere admitted in 18 groups, and the following principles were implemented; early rapidfluid resuscitation during shock stage for delayed resuscitation patients; earlytracheostomy to assist air passage humidification and lavation for moderate and severeinhalation injury; planning escharectomy and grafting during shock stage in patients withextensive deep burns; emphasizing early stage enteral nutritional support. Results The successful rate of treatmentwas raised, and the incidence of complications decreased in mass casualties with seriousburn after implementing early stage treatment principles.Conclusion The application of “ four-early principle” on the treatment of mass burncasualties is feasible and effective.

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