1病历资料患者男,28岁,因“全身爆炸烧伤”于2008-02-28入院。患者工作时管道内铝粉爆炸,致头、面、颈、躯干、四肢被热铝粉及火焰烧伤,数分钟后火焰熄灭。20min患者被他人救出,送往当地医院,予以补液、抗休克、气管切开等处理。伤后4h转入我院。入院时患者胸闷、气促、声嘶、咳嗽、口渴明显,导尿导出100mL黑色尿液。查体:体温 1 medical records patient male, 28 years old, because of “systemic blast burns” in 2008-02-28 admission. When the patient works, the aluminum powder inside the pipe explodes, causing the head, face, neck, trunk, limbs to be burned by hot aluminum powder and flame, and the flame goes out after a few minutes. 20min patients were rescued by others, sent to a local hospital, to be rehydration, anti-shock, tracheotomy and other treatment. 4h after injury into our hospital. Patients admitted to the hospital chest tightness, shortness of breath, hoarseness, cough, thirst obvious, catheterization derived 100mL black urine. Physical examination: body temperature