CAJ | 학술논문

目的：总结“四早”救治方案在特重烧伤病人上应用的经验。方法：对近7年内262名特重烧伤病人实施“四早”方案，即：对延迟复苏者早期快速液体复苏；对中、重度吸入性损伤实行早期气管切开；早期切（削）痂植皮；早期胃肠道营养。结果：应用“四早”救治方案后，减少了并发症，显著提高救治成功率。结论：“四早”救治方案是治疗特重烧伤病人较好的治疗方案。
목적：총결“사조”구치방안재특중소상병인상응용적경험。방법：대근7년내262명특중소상병인실시“사조”방안，즉：대연지복소자조기쾌속액체복소；대중、중도흡입성손상실행조기기관절개；조기절（삭）가식피；조기위장도영양。결과：응용“사조”구치방안후，감소료병발증，현저제고구치성공솔。결론：“사조”구치방안시치료특중소상병인교호적치료방안。
Objective：To summarize the experience of applying the “Four Early” treating plan to the patients with specially severe burn．Methods：To apply the “Four Early”treating plan to 262 patients with specially severe burn within the last 7 years．which are to revivify the delayed revivification patients with quick liquid revivification in early stage，treat the middle or heavy aspiration damage patients by early tracheotomy，remove eschar and graft skin early and nourish gastrointestinal tract early．Results：After the “Four Eavly”treating plan has been used，complications decrease and the successful rate of treating is improved．Conclusion：“Four Early” treating plan is a good treatment plan for patients with specially severe burn．