干、湿疗法治疗大面积烧伤并呼吸道吸入性损伤31例疗效分析

客车内黑色火药爆燃，31名乘客全部大面积烧伤，头面部烧伤，呼吸道吸入性损伤。经抗休克、气管切开，给氧等治疗。创面外用MEBO，死亡9例，死亡率为25．6％，低于文献报道(1)。伤后第7天分成两组，干性组12例，死亡5例，死亡率为41．65％；湿性组10例，无1例死亡。两组比较，湿性组优于干性组。

干、湿疗法治疗大面积烧伤并呼吸道吸入性损伤31例疗效分析

31 passengers were burned by gun powder explosion in coach. They had large areacraniofacial burn complicated by respiratory tract inhalation injury. After aritishock, trachectomyand oxygen supply, the wounds were treated MEBO. 9 cases died. The death rate was 25. 6%,lower than reproted in literature (1 ). At day 7 post burn, the patients were divided into twogroups. 12 were treated with dry therapy and 5 died. The death rate was 41. 64 %. 10 were treatedwith moist therapy and none died. Moist therapy was superior to dry therapy.