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本文认为肢体电烧伤后发生血运障碍,继发性坏死的原因与感染,肢体血管痉挛,继发性栓塞,多种炎性介质的参与有关。但在临床治疗上多注重手术治疗而忽视药物治疗,而手术治疗只能解决感染一种原因,其它原因仍然存在。本院根据以上原因采用了辅助药物治疗,筛选了罂粟碱、阿司匹林、潘生丁三种药物,并在临床上进行了详细的观察,结果证明:切实有效,总有效率在82%。很好地解决了肢体痉挛性缺血,并对血管栓塞性缺血有一定的治疗作用。在临床治疗上作为手术治疗的辅助治疗有推广应用的必要。最后对电烧伤后药物治疗的效果、意义、现状及前景进行了简单讨论,认为药物治疗是必要的,针对性的,有很好的发展前景。
In this paper, it is considered that the blood supply disorder occurs after limb burns. The causes of secondary necrosis are related to infection, limb vasospasm, secondary embolism, and the involvement of various inflammatory mediators. However, more attention to surgical treatment in clinical treatment and neglect of drug treatment, and surgical treatment can only solve the infection of a cause, other reasons still exist. Based on the above reasons, the hospital used adjuvant drug therapy and screened three drugs, papaverine, aspirin and dipyridamole, and conducted detailed clinical observations. The results showed that: effective and effective, the total effective rate was 82%. A good solution to limb spastic ischemia, and vascular embolic ischemia have a certain therapeutic effect. In clinical treatment as an adjuvant treatment of surgical treatment is necessary to promote the application. Finally, the effect, significance, current situation and prospect of drug treatment after electric burn were briefly discussed. Drug treatment was necessary, targeted and promising.