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目的探讨小儿烧伤并发惊厥临床诊治措施。方法回顾分析28例患者的临床资料。结果本组28例中,26例治愈,2例死亡。惊厥时间在1min内控制者19例,在2～4min控制者7例,2例惊厥反复发作4～12h,随烧伤病情好转症状消失。结论在小儿烧伤清创中操作要简单、轻柔、尽量减少刺激,清创前可预防性使用镇静剂及激素和解热镇痛药物。对创面要减少敷料包扎,以利于散热;加强创面的早期处理并积极控制感染,早期即经验性给予高效、广谱、足量抗生素,积极处理创面,清除坏死组织,植皮封闭创面,减少毒素的吸收,防止感染,预防惊厥。
Objective To investigate the clinical diagnosis and treatment of pediatric burn complicated with convulsion. Methods The clinical data of 28 patients were retrospectively analyzed. Results Of the 28 cases, 26 cases were cured and 2 died. Convulsive time in 1min 19 patients in control, 2 ~ 4min controller in 7 cases, 2 cases of recurrent seizures 4 ~ 12h, with the symptoms of the disease disappeared. Conclusion The operation of debridement in children with burn should be simple and gentle, minimize the irritation, pre-debridement can be preventive use of sedatives and hormones and anti-inflammatory drugs. To reduce wound dressing dressing, in order to facilitate the heat; to strengthen the early treatment of the wound and actively control the infection, early that is empirically given efficient, broad-spectrum, adequate antibiotics, active treatment of wounds, removal of necrotic tissue, skin graft closure, to reduce the toxin Absorption, prevent infection, prevent convulsions.