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目的探讨成批烧伤患者通过早期分流转运、多专业联合的救治模式,提高治疗成功率。方法从现场救治与医疗技术人员前伸、分流救治、休克期治疗、创面处理、全身综合治疗等几个方面,总结了四批共71例成批烧伤的救治经验及体会。结果 71例患者中死亡4例,其中1例腹腔脏器损伤患者于伤后72小时抢救无效死亡;1例患者入院时即昏迷,呼吸循环功能不稳定,伤后第5天死亡;1例患者伤后第17天发展为ARDS,于伤后32天死亡;1例患者因多次拒绝气管切开,于伤后第9天因喉头水肿,突发窒息致心跳呼吸停止,抢救无效死亡。余患者全部治愈出院。结论制定合理的成批烧伤救治模式能够显著提高救治成功率。
Objective To explore the treatment of patients with multiple burns through early diversion and multi-disciplinary treatment mode to improve the success rate of treatment. Methods From the field rescue and medical technicians forward, shunt treatment, shock period treatment, wound treatment, general treatment and other aspects, summed up the four batches of a total of 71 cases of burn treatment experience and experience. Results Of the 71 patients, 4 died, of which 1 patient died of an abdominal organ injury at 72 hours after injury, 1 patient was unconscious on admission, the respiratory function was unstable and died on the 5th day after injury. One patient ARDS was developed on the 17th day after injury, and died on the 32th day after injury. One patient died of laryngeal edema on the 9th day due to repeated rejection of tracheotomy and heartbeat respiration due to sudden asphyxia, and died of rescue. All patients were cured and discharged. Conclusion Establishing a reasonable batch burn treatment model can significantly improve the success rate of treatment.