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男性,29岁,因石灰窑倒塌致伤,伤后5h 入院。检查:意识清楚,P120次/分,R30次/分。Bp11/8kPa(82.5/60mmHg)。面颈、躯干、四肢烧伤面积60%,Ⅲ度30%。补液按每公斤每1%面积1.5ml,晶胶比1;1,清创后创面暴露烤灯,每日涂 SD-Ag,休克期渡过平稳。伤后7天行第1次手术,双上肢削痂打洞异体皮覆盖,面积约10%。伤后10、20天分别取右大腿刃厚皮约5%及2%,行点状嵌入及邮票植皮。其后又分别于伤后25、28及45天行植皮手术。伤后60天创面基本封闭时,患者自觉口渴明显,每日饮水8000ml 左右,小便
Male, 29 years old, collapsed due to lime kiln injury, 5h after injury hospitalized. Check: Consciousness, P120 beats / min, R30 beats / min. Bp11 / 8kPa (82.5 / 60mmHg). Face neck, trunk, burns area of 60%, Ⅲ degree 30%. Rehydration per 1kg per kilogram of area 1.5ml, crystal gel ratio 1; 1, after debridement exposed baked lamp, daily coated with SD-Ag, shock period through the smooth. 7 days after injury the first line of surgery, both upper extremity crust removal allogeneic skin cover, an area of about 10%. 10, 20 days after injury, respectively, take the right thigh blade thick skin about 5% and 2% line punctured embedding and stamps. Followed by 25, 28 and 45 days after injury skin grafting surgery. Wound 60 days after the wound basically closed, the patient consciously obvious thirst, daily drinking water about 8000ml, urine