中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2011年
1期
68-69
,共2页
烧伤,化学%苯酚%治疗结果
燒傷,化學%苯酚%治療結果
소상,화학%분분%치료결과
Burns,chemical%Phenol%Treatment outcome
目的 探讨苯酚灼伤并发中毒患者的治疗及护理.方法 回顾我院1998至2010年收治的42例苯酚灼伤患者临床救治资料,对其一般临床表现、治疗与护理方法、治疗结果等进行分析.结果 42例苯酚灼伤患者中22例灼伤总面积≤5%,10例为6%～10%,5例为11%～20%,5例＞20%.36例患者伤后1～2 h即有全身中毒症状,其严重程度和持续时间与灼伤面积有关,灼伤面积＞10%者出现较明显肝肾功能损害.治疗方法包括创面处理、补液利尿、碱化尿液、大剂量维生素C和糖皮质激素、早期手术、血液净化等.治愈39例,死亡3例.结论 苯酚灼伤常并发全身中毒,治疗上宜尽早阻断苯酚吸收,促进已吸收的毒物排出,并予全身重要脏器功能支持的综合性治疗和护理.
目的 探討苯酚灼傷併髮中毒患者的治療及護理.方法 迴顧我院1998至2010年收治的42例苯酚灼傷患者臨床救治資料,對其一般臨床錶現、治療與護理方法、治療結果等進行分析.結果 42例苯酚灼傷患者中22例灼傷總麵積≤5%,10例為6%～10%,5例為11%～20%,5例＞20%.36例患者傷後1～2 h即有全身中毒癥狀,其嚴重程度和持續時間與灼傷麵積有關,灼傷麵積＞10%者齣現較明顯肝腎功能損害.治療方法包括創麵處理、補液利尿、堿化尿液、大劑量維生素C和糖皮質激素、早期手術、血液淨化等.治愈39例,死亡3例.結論 苯酚灼傷常併髮全身中毒,治療上宜儘早阻斷苯酚吸收,促進已吸收的毒物排齣,併予全身重要髒器功能支持的綜閤性治療和護理.
목적 탐토분분작상병발중독환자적치료급호리.방법 회고아원1998지2010년수치적42례분분작상환자림상구치자료,대기일반림상표현、치료여호리방법、치료결과등진행분석.결과 42례분분작상환자중22례작상총면적≤5%,10례위6%～10%,5례위11%～20%,5례＞20%.36례환자상후1～2 h즉유전신중독증상,기엄중정도화지속시간여작상면적유관,작상면적＞10%자출현교명현간신공능손해.치료방법포괄창면처리、보액이뇨、감화뇨액、대제량유생소C화당피질격소、조기수술、혈액정화등.치유39례,사망3례.결론 분분작상상병발전신중독,치료상의진조조단분분흡수,촉진이흡수적독물배출,병여전신중요장기공능지지적종합성치료화호리.
Objective To explore the therapeutic processing and nursing for phenol bum patients combined with poisoning. Methods The clinical data of 42 phenol bum cases admitted in our hospital from 1998 to 2010 were reviewed retrospectively. The general clinical manifestations, treatment and nursing methods, and the treatment results of these cases were analysed. Results Out of 42 phenol burns patients, the total burn surface area(TBSA) of 22 cases were ≤5%, 10 cases' TBSA were 6%～10%, and 5 cases' ＞ 20%. 36 patients showed systemic poisoning symptoms 1～2 hours after injury, the severity and enduring period of which correlated with TBSA. Patients whose TBSA＞10% appeared obviously dysfunction of the liver and kidney. The therapeutic methods included wound management, compensation of fluid, diuresis, alkalized urine, large dose of vitamin C and glucocorticoid, early surgery, blood purification, etc. 39 of 42 cases were successful cured,while the other 3 cases died. Conclusions Phenol burn often complicates systemic poisoning. In the treatment of patients with this special chemical burn, it is key scheme to block phenol absorption and promote elimination of already absorbed poison as early as possible. The comprehensive management and nursing should be necessary for supporting functions of important organs.
