25例地震伤致气性坏疽伤员的救治与管理体会

英文篇名：Therapeutic and Management of 25 Cases Gas Gangrene in Earthquake Injury
中文刊名：华西医学
英文刊名：West China Medical Journal
作者：王瑞珍 ; 袁秀蓉 ; 陈忠兰
英文作者：WANG Rui-zhen ; YUAN Xiu-rong ; CHEN Zhong-lan(Orthopedic Department of West China Hospital of Sichuan University ; Chengdu 610041 ; China)
中文关键词：气性坏疽 ; 地震 ; 隔离 ; 救护效果
英文关键词：gas gangrene ; nursing
出版日期：2009-01-25
机构：四川大学华西医院骨科;
年：2009
期：01
出版单位：华西医学

摘要

目的:总结分析25例地震伤致气性坏疽伤员的救治经验,探讨救治方案,为临床工作提高参考。方法:回顾性研究25例地震伤致气性坏疽伤员的早期临床表现,诊断方法,隔离措施、临床管理及其预后。结果:共收治25例气性坏疽伤员,无一例死亡。院外诊断7例,院内诊断18例。截肢18例,开放性截肢12例,非开放性截肢6例;扩创7例。发生急性肾功能衰竭2例,行血液透析治疗后肾功能恢复;无院内交叉感染的发生。结论:早期诊断、治疗、早期隔离及全面、系统护理可以提高临床救治水平,改善患者的预后,避免院内交叉感染的发生。
Objective:To summarize and analyze the cure experience of 25 wounded persons of gas gangrene due to earthquake injury,explore treatment plan,providing reference for clinical work.Methods:study the early manifestation,diagnosis,isolation measurements,clinical management and prognosis of these 25 gas gangrene wounded persons.Results:25 wounded persons were admitted totally,no one died.7 wounded got definite in other hospitals,18 ones in this hospital.12 wounded underwent open amputation,6 amputation and 7 debridement.2 persons got acute renal failure,renal function improved after dialysis;no cross infection occurred.Conclusion:early diagnosis,treatment,isolation and holistic nursing can help to improve cure level and prognosis,prevent cross infection.

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