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[烧伤的治疗]

[Treatment of burns].

作者信息

Herold G, Stephan B

出版信息

Fortschr Med. 1975 Dec 4;93(34):1731-7.

PMID:53173
Abstract

Bibliographic data on pathophysiology, therapeutic methods and mortality rate of burn disease are compared with own clinical experiences with a standardized therapy. Within a period of 18 month 35 patients with burn disease of special therapeutic problems were treated besides the overall number of patients in the operative intensive care unit of the Klinikum Steglitz. As special devices for patients with burns still do not exist provisional solutions had to be developed. It is referred to the close connexion between prognosis and mortality, on the one hand, and the age of the patients and the degree of burns, on the other hand. Whereas shock treatment, medicamentous therapy and nutrition are largely standardized, there are strongly differing opinions on local treatment and surgical wound care. The routine application of gammaglobulines, antibiotics and heparin controversial, too.

摘要

将烧伤疾病的病理生理学、治疗方法和死亡率的文献数据与自身采用标准化疗法的临床经验进行了比较。在18个月的时间里,除了施特格利茨临床医院手术重症监护病房的患者总数外,还治疗了35例有特殊治疗问题的烧伤患者。由于仍然没有专门用于烧伤患者的设备,所以不得不开发临时解决方案。一方面提到了预后和死亡率之间的紧密联系,另一方面提到了患者年龄和烧伤程度之间的紧密联系。虽然休克治疗、药物治疗和营养在很大程度上是标准化的,但在局部治疗和手术伤口护理方面存在很大分歧。γ球蛋白、抗生素和肝素的常规应用也存在争议。

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