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临床资料:本组患者中男6例、女2例,年龄12-55岁[(31±7)岁]。烧伤总面积15％-75％,其中深Ⅱ、Ⅲ度面积15％-40％TBSA。致伤原因为热液烫伤、火焰烧伤。患者严重腹胀、肠鸣音消失;腹部X线片和B超检查提示存在扩张积气和少许液体,排除肠梗阻;呕吐咖啡样物,均发热(体温>38．5℃);胃肠减压、肛管排气等对症处理及应用新斯的明等药物均无明显效果。低钾血症7例次(血钾离子浓度2．8-3．4 mmol／L),低钠血症4例次(血钠离子浓度120- 128 mmol／L),酸中毒4例次。白细胞计数(WBC)12．1×
Clinical data: 6 males and 2 females, aged 12-55 years [(31 ± 7) years] in this group of patients. Burns a total area of 15% -75%, of which deep Ⅱ, Ⅲ degree area of 15% -40% TBSA. The cause of the injury is hydrothermal burns, flame burns. Patients with severe abdominal distension, bowel sounds disappear; abdominal X-ray and B-ultrasound showed the presence of expansion of gas and a little liquid to exclude intestinal obstruction; vomit coffee samples were fever (body temperature> 38.5 ℃); gastrointestinal decompression , Anal canal exhaust symptomatic treatment and application of neostigmine and other drugs have no significant effect. Hypokalemia in 7 cases (serum potassium 2.8-3.4 mmol / L), 4 cases of hyponatremia (serum sodium concentration 120-128 mmol / L), acidosis in 4 cases. White blood cell count (WBC) 12.1 ×