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目的探讨并反思特大面积烧伤患者的救治策略。方法对2例特大面积烧伤患者临床救治及10年后功能恢复情况进行调查回访,包括:烧伤早期救治、气管切开、液体复苏、抗生素的应用、早期营养支持、创面处理等以及10年后的功能恢复和生存质量情况。结果上述主要治疗手段及措施及时正确,2例患者创面修复的时间2个月左右,3个月痊愈出院,10几年来,患者功能恢复满意,生存质量良好。结论大面积严重烧伤早期抢救生命的同时,应注重其后期功能恢复与生存质量。
Objective To explore and reflect on the treatment strategy of patients with large area burn. Methods The clinical data of two patients with super-large area burns and the functional recovery after 10 years were retrospectively analyzed, including early treatment of burns, tracheotomy, liquid resuscitation, application of antibiotics, early nutritional support, wound treatment, Functional recovery and quality of life. Results The above-mentioned main treatment methods and measures were correct in time. The repair time of wounds in 2 patients was about 2 months and recovered in 3 months. In 10 years, patients recovered satisfactorily and their quality of life was good. Conclusions In the early rescue of large area severe burn at the same time, we should pay attention to its functional recovery and quality of life.