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176例化学烧伤的治疗
作者:孔进 刘再香 王家贺 
单位:徐州市第三人民医院,烧伤整形科,江苏,徐州,221005
关键词:化学烧伤 治疗 诊断 
分类号:R643
出版年·卷·期(页码):2000·19·第二期(121-123)
摘要:

目的:总结治疗176例化学烧伤的临床经验,对化学烧伤治疗的基本原则进行探讨.方法:回顾性分析我院1985年1月~1997年7月收治的176例化学烧伤的临床资料.结果:176例中,77.60%的烧伤与工作中的意外事故有关,造成烧伤的化学物质有14种.经治疗痊愈171例,死亡5例.结论:化学烧伤的治疗要强调伤后尽快清除创面污物,用大量清水冲洗,适当使用中和剂,防治全身中毒和吸入性损伤.

Objective  The purpose of the article was to sum up our clinical experience of treatment of 176 cases of chemical burns and to discuss the fundamental principles in managing chemical burns.Method  A retrospective review was conducted of the patients who sustained chemical burns over a 12  year period ending in July 1997 and treated in our burn unit.Result  One hundred and seventy  six patients were treated in our burn unit from January 1985 to July 1997,with 14 different agents involved.77.60% of the patients burned were related to the accidents in work sites.Out of them 171 cases were cured and there were 5 deaths.Conclusion  The key principles in treatment of chemical burns include removal of the chemical,copious irrigation,proper use of antidotes,control of systemic toxicity and management of inhalation injury.

参考文献:

[1] 金以福, 季元生. 溴中毒死亡案例分析, 1994(1)
[2] Bond S T, Schnier G C, Sundine M J. Cutaneous burn caused by sulfuric acid drain cleaner. 1998(3). doi:10.1097/00005373-199803000-00019
[3] Leonard L G, Scheulen J J, Munster A M. Chemical burns:effect of prompt first aid. 1982(5). doi:10.1097/00005373-198205000-00013 

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