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患者,男.33岁,于1996年6月22日,因车祸致面部、颈部、双上肢及胸背部烧伤,总面积43％,深Ⅱ°。在当地医院治疗,创面外涂自制中药,每日静滴青霉素。第二天出现腹胀及黑便,诊断为麻痹性肠梗阻,给予胃肠减压。输液,肌注新斯的明等综合治疗,症状有所缓解。但创面分泌物增多,并出现发热。于伤后第7天转来我院。入院检查:一般情况较差,KT37.8℃,P100次/min,R20次/min,BP16.0/10.7kPa,双肺呼吸音清晰,腹部饱满,触诊无腹肌紧张及固定性压痛,肠鸣音弱。换药时,可见创面有淡
The patient, male, 33 years old, burns on the face, neck, upper extremities and chest and back in a car accident on June 22, 1996, with a total area of 43% and a depth of Ⅱ °. In the local hospital treatment, homemade wounds coated with traditional Chinese medicine, daily intravenous penicillin. Abdominal distension and melena appeared the next day, diagnosed as paralytic ileus, given gastrointestinal decompression. Infusion, intramuscular injection of neostigmine and other comprehensive treatment, the symptoms eased. However, wound secretions increased, and fever. 7 days after injury to our hospital. Admission examination: the general situation is poor, KT37.8 ℃, P100 times / min, R20 times / min, BP16.0 / 10.7kPa, clear lung breath sounds, full belly, palpation no abdominal muscle tension and tenderness, Bowel sounds weak. Dressing, we can see a light wound