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三度(全层皮肤)烧伤面积≥90%的极重伤员病情危重,烧伤休克和感染的发生率高,修复三度创面需要的自体皮肤供皮区缺乏,病程长,并发症多,是烧伤救治的难题。1966年救治成功1例三度烧伤面积90%的成年工人,1973年救治成功1例烧伤总面积98%三度94%的2.5岁幼儿,到2000年共收治48例三度烧伤面积≥90%的伤员,16例救治成功。现将主要救治经验报告如下。1.防治烧伤休克的重要性与主要措施:烧伤休克是大面积深度烧伤最早期的并发症,渡过得平稳与不平稳将影响预后,大量资料表明休克期渡过不平稳,即使勉强渡过了休克期,最后生存者罕见。多因为全身侵袭性感染、脓毒症、多
Third-degree (full-thickness skin) burn area ≥ 90% of critically ill patients in critical condition, the incidence of burn shock and infection is high, the repair of third-degree wounds lack of autologous skin donor area, long duration, complications, burn Treatment of the problem. 1966 A successful treatment of adult patients with 90% of third-degree burns, 1973, a successful treatment of burns 98% of the total area of 98% Third-year 94% of 2.5-year-old children were treated in 2000 were 48 cases of third degree burn area ≥ 90% Of the wounded, 16 cases of treatment success. Now the main treatment experience report as follows. 1. The importance of prevention and treatment of burn shock and the main measures: Burn shock is the earliest large-scale deep burn complications, too smooth and unstable will affect the prognosis, a large number of data show that the shock period is not smooth, even barely spent The shock period, the last survivors rare. More because of systemic infection, sepsis, and more