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目的总结成批儿童烧伤救治的经验。方法对两批共31例儿童严重烧伤进行回顾性分析。结果 平均烧伤面积(60±28)％;平均Ⅲ度烧伤面积(42±13)％。其中烧伤总面积>90％者7例;Ⅲ度烧伤面积50％以上者7例,合并吸入性损伤8例,除1例总面积84％合并严重吸入性损伤,行气管切开的患儿于伤后15 d意外死于呼吸道大出血窒息外,余30例全部治愈。结论成批儿童烧伤的抢救应迅速成立抢救小组;采取同类伤情同步治疗;适当放宽气管切开指征以及休克期大面积切、削痂植皮。
Objective To sum up the experience of treating children with burn. Methods A total of 31 cases of severe burn in two batches were retrospectively analyzed. Results The average burn area (60 ± 28)%; average Ⅲ degree burn area (42 ± 13)%. Among them, 7 cases had a total burn area> 90%, 7 cases had a third degree burn area of 50% or more, and 8 cases were complicated with inhalation injury. Except for 1 case with a total area of 84% with severe inhalation injury, tracheotomy children 15 days after injury died of respiratory haemorrhage suffocation, more than 30 cases were completely cured. Conclusion Batch rescue of children with burn should be promptly set up a rescue team; to take the same kind of injury simultaneous treatment; appropriate relaxation of tracheotomy indications and shock during a large area cut, cut crusting skin graft.