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高海拔地区十年烧伤治疗总结 被引量:2

EN YEAR EXPERIENCE OF TREATMENT OF BURN AT HIGH ALTITUD
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摘要 本文总结了从1981年至1990年在海拔2261米地区收治的1778例烧伤病人。对病死率的统计学分析表明:TBSA的LA_(50)为88%;三度BSA的LA_(50)为51.93%;BI的LA_(50)为64.25。与国内其它单位的结果相近。资料表明:感染仍是烧伤病人的主要死亡原因;MOF则是烧伤病人另一重要并发症。总结十年细菌学资料并与其它同类资料相比较,结果表明本地区总的细菌感染程度较轻;革兰氏阳性球菌与革兰氏阴性杆菌检出率相近;绿脓杆菌与霉菌的检出率较低。 1778 burned patients were treated in our hospital situated at 2261 meters above sea level from 1981 to 1990. Statistical analysis of mortality showed that LA_(50) of total burn surface area (TBSA) was 88.% ; LA_(50) of third degree burn surface area (Ⅲ° BSA)was 51. 93% ;LA_(50) of burn index (BI) was 64. 25.The study suggested that infection was the maincause of death. Multiple organ failure (MOF) was another important complication in burned patients. The investigation of bacteria on burn wound showed some features:lower contamination of burn wound and lower incidence of infection caused by pseudomonas aeruginosa and fungus. The dry and cold climate at high altitude may be the subject of those features.
出处 《青海医学院学报》 CAS 1992年第3期161-164,共4页 Journal of Qinghai Medical College
关键词 烧伤 高海拔 感染 细菌 死亡率 Burn High Altitude Mortality Infection Bacteria
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