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冻伤以及我们在乌兹别克斯坦撒马尔罕地区的治疗经验。

Frostbite injuries and our experience treatment in the Samarkand area Uzbekistan.

作者信息

Shakirov Babur M

机构信息

Burn Department of The Centre of Emergency Medical Care Samarkand, Uzbekistan.

Samarkand Medical Institute Samarkand, Uzbekistan.

出版信息

Int J Burns Trauma. 2020 Aug 15;10(4):156-161. eCollection 2020.

Abstract

Cold injury remains one of the most complex and actual problems of emergency medicine. Frosting injuries are also observed in the regions with warm climate particularly in Uzbekistan able - bodies men suffer most often, 85-90% of them are admitted in the condition of alcohol intoxication. A retrospective review was performed of patients admitted to the Burn Department of the Centre of Emergency Medical Care with frostbite injury 92 individuals of 19 to 63 years of age. The data on each patient were collected including age, sex, period of injury, injuries of extremities, bacteriological investigations, along with general warming of victims, all patients were given intravenous injection of infusion spasm and to improve microcircula determination of the injury area and different general and local treatment. Treatment of these patients is very prolonged, expensive, frequently requiring crippling operations, resulting in disability.

摘要

冷损伤仍然是急诊医学中最复杂且现实的问题之一。在气候温暖的地区也会观察到冻伤,尤其是在乌兹别克斯坦,身体健全的男性最常遭受冻伤,其中85% - 90%的患者是在酒精中毒状态下入院的。对急诊医疗中心烧伤科收治的92名年龄在19至63岁之间的冻伤患者进行了回顾性研究。收集了每位患者的相关数据,包括年龄、性别、受伤时间、肢体损伤情况、细菌学检查结果,同时对受害者进行全身复温,所有患者均接受静脉注射输液解痉剂,并测定损伤面积以及进行不同的全身和局部治疗。这些患者的治疗过程非常漫长且费用高昂,常常需要进行致残性手术,导致残疾。

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本文引用的文献

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Frostbite: a practical approach to hospital management.冻伤:医院管理的实用方法
Extrem Physiol Med. 2014 Apr 22;3:7. doi: 10.1186/2046-7648-3-7. eCollection 2014.
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Frostbite: prevention and initial management.冻伤:预防和初步处理。
High Alt Med Biol. 2013 Mar;14(1):9-12. doi: 10.1089/ham.2012.1114.
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Recognition and treatment of freezing and nonfreezing cold injuries.冻伤和非冻伤的识别与治疗。
Curr Sports Med Rep. 2013 Mar-Apr;12(2):125-30. doi: 10.1249/JSR.0b013e3182877454.
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Using thrombolytics in frostbite injury.在冻伤损伤中使用溶栓剂。
J Emerg Trauma Shock. 2012 Jul;5(3):267-71. doi: 10.4103/0974-2700.99709.
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Frostbite: pathogenesis and treatment.冻伤:发病机制与治疗
J Trauma. 2000 Jan;48(1):171-8. doi: 10.1097/00005373-200001000-00036.

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