冲击伤是物质在爆炸的瞬间释放出巨大的能量,引起气体、液体及固体物质发生动力学变化,产生冲击波造成机体的各种损伤,而烧冲伤是两种致伤因素相继或同时对机体产生的复合伤。烧伤合并冲击伤(烧冲复合伤)是较常见的损伤,由于伤情复杂,死亡率高,治疗难度大。总结1997年3月至2010年3月收治的大面积烧冲复合伤患者23例,死亡11例,病死率47.8%,总结其临床经过,报告如下。临床资料1.一般资料:本组23例,男21例,女2例;年龄18～35岁,平均26岁。其中19例为煤矿井下瓦斯爆炸,1例为室内瓦斯爆炸,3例为户外烟花爆炸。平均 Impact injury is the material in the moment of explosion release a huge energy, causing gas, liquid and solid material dynamics changes, resulting in a variety of injuries caused by the shock wave, and burn injury are two kinds of injury factors in succession or at the same time on the body The resulting composite injury. Burn combined with impact injury (burn red complex injury) is a more common injury, due to complicated injuries, high mortality, difficult to treat. Summarized from March 1997 to March 2010 admitted to the large area burn Chong composite wounds in 23 patients, 11 patients died, the fatality rate was 47.8%, summarizes the clinical course, the report is as follows. Clinical data 1. General information: The group of 23 patients, 21 males and 2 females; aged 18 to 35 years, mean 26 years. Among them, 19 cases were gas explosion in coal mine, 1 case was indoor gas explosion, and 3 cases were outdoor fireworks explosion. average