Lund T
Anestesi- og intensivavdelingen, Haukeland sykehus, Bergen.
Tidsskr Nor Laegeforen. 1992 May 10;112(12):1587-9.
Extensive burns are severe, life-threatening injuries. Cutaneous burns are often accompanied by injury to inhalation, leading to severe pulmonary problems with a high rate of mortality. Published reports on series of burn patients state that in 2-5% of all (burn) cases, cutaneous thermal injury was accompanied by mechanical injuries such as fractures, closed head injuries, or blunt injuries to chest and abdomen. The care of the burn is often made difficult by concomitant orthopaedic injury, and in a multiple trauma victim, the burn itself often complicates diagnosis and treatment. It is important to recognize all injuries as soon as possible. The article briefly discusses practical considerations when treating patients with multiple injuries including cutaneous burns and/or inhalation injury. After initial resuscitation and stabilization these patients should be transferred to a specialized treatment facility for burns. As a rule, open surgical reduction and fixation of fractures should be carried out no later than 48 hours after the injury.
大面积烧伤是严重的、危及生命的损伤。皮肤烧伤常伴有吸入性损伤，导致严重的肺部问题，死亡率很高。关于烧伤患者系列病例的已发表报告指出，在所有（烧伤）病例的2%至5%中，皮肤热损伤伴有机械性损伤，如骨折、闭合性头部损伤或胸腹部钝器伤。伴随的骨科损伤常常使烧伤护理变得困难，而在多发伤患者中，烧伤本身往往会使诊断和治疗变得复杂。尽快识别所有损伤很重要。本文简要讨论了治疗包括皮肤烧伤和/或吸入性损伤在内的多发伤患者时的实际注意事项。在初始复苏和病情稳定后，这些患者应转至专门的烧伤治疗机构。通常，骨折的切开复位内固定应在受伤后不迟于48小时进行。
