论文部分内容阅读
1病例报告患者,女性,49岁,于2016年4月29日被他人用汽油烧伤全身多处,烧伤约5分钟被救下后送入我科,来时见患者全身被汽油烧伤(除双足及右腹股沟外),面颈部血管外露,声音嘶哑,全身创面腐皮脱落,基底苍白,立即抬入病房,建立静脉通道,血压测不出,足背动脉扪不到,四肢冰凉,给予留置导尿,导出50 ml酱油色尿液,心电监护及氧气吸入,床旁行气管切开,双上肢及躯干切开减张。入院诊断为:(1)全身多处汽油火焰烧伤90%Ⅱ~Ⅲ°;(2)低血容量性休克;(3)重度吸入性损伤;(4)双眼硷及双耳廓烧伤。休克期后,患者经过了多
1 Case Report Patient, female, 49 years old, burned whole body by gasoline at others on April 29, 2016 and burned for about 5 minutes. After being rescued, she was admitted to our department. Foot and right groin), facial and cervical blood vessels exposed, hoarseness, systemic wound skin off, pale, immediately carried into the ward, the establishment of venous access, blood pressure can not be measured, palpable dorsal artery palpable, extremities cold, given Indwelling catheterization, export 50 ml soy sauce color urine, ECG monitoring and oxygen inhalation, bedside tracheotomy, upper limbs and trunk incision and relaxation. Admission diagnosed as: (1) the whole body multiple gasoline flame burns 90% Ⅱ ~ Ⅲ °; (2) hypovolemic shock; (3) severe inhalation injury; (4) binocular alkali and bilateral ear burns. After the shock period, the patient passed much