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目的总结烧伤面积大于90%TBSA的严重烧伤的救治经验,进一步提高对大面积严重烧伤的救治水平。方法回顾性分析内蒙古包钢医院烧伤科2000年1月至2010年6月所收治的烧伤面积≥90%TBSA的大面积严重烧伤患者26例,对休克期补液、创面封闭、脏器保护及并发症治疗等进行总结。结果 26例患者,并发脓毒症者15例,占57.69%;并发多器官功能障碍综合征者8例,占30.77%。治愈19例,好转2例,死亡5例,总体治愈率73.08%。结论对于烧伤面积≥90%TBSA的严重烧伤患者的救治,伤后早期及时有效的抗休克是关键,尽早封闭创面是根本,感染及脓毒症的防治、脏器功能的扶持、内环境的调理以及营养的支持等综合治疗是基础。
Objective To summarize the experience of treatment of severe burns with a burn area of more than 90% TBSA to further improve the treatment of severe burn in a large area. Methods A retrospective analysis of 26 patients with large area severe burn with burn area≥90% TBSA admitted from January 2000 to June 2010 in Bengang Hospital of Inner Mongolia was performed. The effects of fluid replacement, wound closure, organ protection and concurrent Disease treatment and other summary. Results Twenty-six patients were complicated by sepsis, accounting for 57.69%. Eight patients had multiple organ dysfunction syndrome (30.77%). 19 cases were cured, 2 cases improved, 5 cases died, the overall cure rate was 73.08%. Conclusion The treatment of severe burn patients with burn area≥90% TBSA is the key to prompt and effective anti-shock in the early post-traumatic period. Closing the wound as soon as possible is essential for the prevention and treatment of infection and sepsis, the support of organ function and the regulation of internal environment As well as nutritional support and other comprehensive treatment is the foundation.