烧伤治疗措施改进及疗效分析

Evaluation of curative effect of improved treatment measures on burn patients

  • 摘要: 目的: 探讨治疗措施的进步对患者治疗效果的影响。方法: 1997年3月至2003年2月入院的烧伤患者2721例。其中烧伤面积≥ 30%者24 8例,<30%者24 73例。分析患者平均住院时间、治愈率、半数致死面积(LA50)、Ⅲ度LA50。改进的治疗措施主要针对危重烧伤患者并发症的预防和治疗。结果: 平均住院天数25d,总的治愈率达99.71%,LA50为98.97%,Ⅲ度烧伤面积LA50为89.32%,较我所既往报道有进一步提高。结论: 治疗手段的改进完善了危重烧伤患者并发症的预防和治疗,进而提高了烧伤治疗水平。

     

    Abstract: Objective: To evaluate the curative effect of improved treatment measures on burn patients through analyses of patients admitted to our burn center in the past 6 years. Methods: 2721 patients hospitalized to the center from May, 1997 to February, 2003 were involved in this retrospective study, 248 of which sustained burns ≥30% of total body surface area (TBSA), 2473 of which had burns <30% of TBSA. Average hospitalization days, cure rate, 50% lethal area (LA50), Ⅲ°LA50. Improved treatment measures were concentrate on complication prevention: small molecular heparin to prevent micro-thrombus, low volume ventilation and high PEEP to treat ARDS, Thymosin-α1 to modulate immune dysfunction, heparin-free hemodialysis to treat hypernatremia, and short-term combined utilization of large dose glucocorticoid and anisodamine to control septic shock. Results: The average hospitalization days were 25, and the cure rate was 99.71%, and LA50 and Ⅲ° LA50 were 98.97% and 89.32% respectively, which were much better than before. Conclusion: Innovation of treatment measures improved the outcome of burn patients.

     

/

返回文章
返回