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目的探索新生儿严重烧伤后的救治方法。方法本组共78例患儿,给予及时有效的抗休克、抗感染、加强营养支持及适当的创面处理。结果 78例新生儿全部治愈。其中,浅Ⅱ度、深Ⅱ度和烧伤面积小于1%TBSA的Ⅲ度创面愈合后,经随访6个月～1年均无明显瘢痕组织增生;3例Ⅲ度创面烧伤面积大于2%TBSA的患儿植皮区和供皮区皆无明显瘢痕组织增生。结论早期进行有效的抗休克和抗感染治疗,同时加强营养支持,并给予恰当的创面处理是救治严重烧伤新生儿的重要措施。
Objective To explore the treatment of neonatal severe burn. Methods A total of 78 children in this group were given timely and effective anti-shock, anti-infection, enhance nutritional support and appropriate wound treatment. Results 78 newborns were completely cured. There was no significant scar tissue hyperplasia after 6 months to 1 year of follow-up after Ⅲ degree wound healing of TBSA with superficial Ⅱ degree, deep Ⅱ degree and burn area less than 1%; 3 cases with Ⅲ degree burn wound area larger than 2% TBSA There was no obvious scar tissue hyperplasia in the skin graft and donor area of children. Conclusion Early effective anti-shock and anti-infective therapy, while enhancing nutritional support, and give the appropriate wound treatment is an important measure to treat severe burns of newborns.