CAJ | 학술논문

目的:总结基层医院四肢小面积Ⅰ、Ⅱ度烧伤的特点及有效的治疗方法.方法:分析宾川县平川镇中心卫生院从2012年1月至2015年1月诊治的四肢小面积Ⅰ、Ⅱ度烧伤50例的临床特点及治疗方法和疗效.结果:临床特点:①小儿四肢烧伤相对较多,占68%(34/50);②部分病例约58%(29/50)来诊时,已自用民间药物或方法自行处理创面,而致创面感染或污染.本组治疗方案:所有伤者首先进行彻底的无菌清创术,对存在创面污染或感染的29例用碘附纱布外敷创面并用多层干纱布包扎,对烧伤6 d内来诊的21例创面用湿润烧伤膏外涂后用凡士林纱布及多层干纱布包扎.根据渗液情况及时更换.本组50例,烧伤面积均在15%以下.治愈43例,占86%,创面感染17例,经换药及相应治疗后,创面愈合,其中7例创面残留明显瘢痕及色素沉着.结论:四肢小面积Ⅰ、Ⅱ度烧伤早期进行有效的无菌清创术,用碘附纱布或湿润烧伤膏外敷后,再用多层干纱布包扎,并给以相应的综合治疗措施是有效的治疗方法.
목적:총결기층의원사지소면적Ⅰ、Ⅱ도소상적특점급유효적치료방법.방법:분석빈천현평천진중심위생원종2012년1월지2015년1월진치적사지소면적Ⅰ、Ⅱ도소상50례적림상특점급치료방법화료효.결과:림상특점:①소인사지소상상대교다,점68%(34/50);②부분병례약58%(29/50)래진시,이자용민간약물혹방법자행처리창면,이치창면감염혹오염.본조치료방안:소유상자수선진행철저적무균청창술,대존재창면오염혹감염적29례용전부사포외부창면병용다층간사포포찰,대소상6 d내래진적21례창면용습윤소상고외도후용범사림사포급다층간사포포찰.근거삼액정황급시경환.본조50례,소상면적균재15%이하.치유43례,점86%,창면감염17례,경환약급상응치료후,창면유합,기중7례창면잔류명현반흔급색소침착.결론:사지소면적Ⅰ、Ⅱ도소상조기진행유효적무균청창술,용전부사포혹습윤소상고외부후,재용다층간사포포찰,병급이상응적종합치료조시시유효적치료방법.
Objective:To summerize the features and treatment of the Ⅰ and Ⅱ degree burn of extremity. Methods:The features and treatment of the Ⅰ and Ⅱ degree extremity burns with 50 cases treated in our hospital from January 2012 to January 2015 were analyzed. Results: The clinical features were: ①Burn of extremity with children were 68%(34/50); ②58% had infected or contaminated wounds because they had treated the burns with folk medicine or methods before visiting the doctor. The treatments were: Sterile debridement was conducted to all patients. 29 cases with infected or contaminated wounds were applied iodophor gauze and multilayer dry gauze bandage. 21 cases burned within 6 hours were treated with moist exposed burn ointment (MEBO), vaseline gauze and multilayer dry gauze bandage. Bandage was changed when liquid appeared. The TBSA of all 50 cases were under 15%. 43 cases recovered (86%), 17 wound infections recovered after changing the dressing, 7 had scars and pigmentation. Conclusion: Sterile debridement, iodophor gauze or MEBO, and multilayer dry gauze bandage was the effective treatment of small area Ⅰ and Ⅱ degree burn of extremity.