Schultz J H, Schmidt H G, Queitsch C, Jürgens C, Bisgwa F
Abteilung für Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Unfallchirurg. 1995 Apr;98(4):224-8.
Over a period of almost 6 years, 18 out of 320 burn patients treated in the burn centre had sustained additional severe trauma; for the most part the trauma was due to a motor vehicle accident or a fall. The risk of overlooking such additional injuries can be minimized by systematic examination and a team approach, the same as in normal multiple-trauma patients. Apart from the burn, life-threatening complications such as intra-abdominal bleeding or haemopneumothoracic injuries are to be treated immediately. In order to facilitate appropriate burn wound care and optimize mobilization, early internal or external fixation of unstable orthopaedic injuries should be performed as soon as possible. In our experience, operations carried out within 48 h after the injury have neither led to complications in wound healing nor to osteomyelitis.
在近6年的时间里，烧伤中心收治的320例烧伤患者中有18例遭受了额外的严重创伤；大部分创伤是由机动车事故或跌倒所致。与普通多发伤患者一样，通过系统检查和团队协作方法可将漏诊此类附加损伤的风险降至最低。除烧伤外，诸如腹腔内出血或血气胸损伤等危及生命的并发症应立即进行治疗。为便于进行适当的烧伤创面护理并优化活动能力，对于不稳定的骨科损伤应尽早进行内固定或外固定。根据我们的经验，在受伤后48小时内进行手术，既未导致伤口愈合并发症，也未引发骨髓炎。
