摘要
目的探讨成批烧冲复合伤有效的组织管理和早期救治方法。方法总结和分析一批16例特重烧伤复合冲击伤患者早期救治过程中的组织管理经验和临床资料。结果应急预案启动及时,伤员救治过程组织严密;全部伤员在早期抢救中顺利度过休克期,有10名伤员及时分流和转运,其中1名在救护车转运途中出现心跳呼吸骤停,予以成功复苏。结论及时启动应急预案、协调指导有利于迅速有效组织成批伤员救治的工作,专家组指导下各组负责的医疗制度有利于提高成批伤员救治的效率,正确认识烧冲复合伤的临床特点、早期有效的液体复苏、尽早封闭烧伤创面和防治多脏器功能不全的是治疗成批烧冲复合伤的有效方法。
Objective To explore effective methods of organization and early treatment of mass casualties of burn-blast combined injury. Methods Early clinical data of a batch of 16 patients with burn-blast combined injury and experience of organization for early care were summarized and analyzed. Results The plan for emergency care of mass casualties was implemented in time and well organized, as a result all the wounded survived the shock stage. 10 wounded servicemen were safely transported to other hospitals. Cardiac and respiratory arrest occurred in 1 case during transportation by ambulance, but was successfully resuscitated. Conclusions Timely deployment of plan for emergency treatment, with the organization of a task force including the director of the hospital and clinical specialists are pivotal in the success of taking care of mass casualties. Correct understanding of the clinical characteristics of burn-blast combined injury, effective fluid resuscitation in early stage of injury, and measures to prevent multiple organ dysfunction syndrome were essential in the treatment.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2006年第6期606-607,共2页
Medical Journal of Chinese People's Liberation Army
关键词
烧冲复合伤
多器官功能衰竭
组织和管理
burn-blast combined injuries
multiple organ failure
organization and administration
作者简介
宋斌，副主任医师。主要从事医疗管理、卫勤管理工作。已发表论文10余篇
