9例化学烧伤死亡病例分析
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摘要： 目的：对9例死亡病例进行总结分析。方法：笔者单位收治的所有化学烧伤患者中，9例死亡病例，平均年龄33±2岁，平均烧伤面积57±5%，烧伤化学物质为氯乙酸、硝基氯苯、苯酚、次氯酸、混合性化学物质(含苯酚、硫酸和次氯酸等)和不明原因化学物质，入院时间为伤后3-12h，均进行常规及对症的积极治疗。结果：2例死于入院后48小时内，直接死亡原因为化学中毒，其余7例死于入院48h后，直接死亡原因为多脏器功能不全综合征(MODS)。结论：化学物质的毒性作用及成分的复杂性是化学烧伤死亡的主要原因；合并复合伤加重患者的死亡。
关键词：烧伤化学死亡
中图分类号：R644 文献标识码：B
基金项目：河北省卫生厅科研基金项目指导项目(20100266)
【Abstract】Objective: 9 death cases of chemical burns were analyzed. Methods: In all chemical burns patients admitted to the unit, 9 death cases, the average age of 33 ± 2 years old, average burn area of 57 ± 5%, burn chemicals for chloroacetic acid, nitrobenzene, phenol, sodium hypochlorite, mixed chemical substances (phenol sulfuric acid and hypochlorous acid, etc.) and unknown causes of chemical substances, admission time was injured after 3 - 12h, active treatment were routine and symptomatic. Results: 2 patients died within 48 hours after admission, the direct cause of death for chemical poisoning, the other 7 patients died of admission to the 48h, direct causes of death were MODS. Conclusion: The complexity of toxicity and chemical composition of matter is the main cause of death of chemical burn; combined with compound injury aggravate the patient's death ......
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