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SPI观念在特重度烧伤病人治疗中的应用
引用本文:周鹏翔,罗成群,贺全勇,朱颉,周健大,彭浩,李萍. SPI观念在特重度烧伤病人治疗中的应用[J]. 中国烧伤创疡杂志, 2003, 15(2): 136-140
作者姓名:周鹏翔  罗成群  贺全勇  朱颉  周健大  彭浩  李萍
作者单位:中南大学湘雅三医院,湖南,长沙,410013
摘    要:目的:通过对110例特重度烧伤病人诊断治疗经验总结,进一步提高严重烧伤病人的救治水平。方法:在尽力抢救每一个特重度烧伤病人的同时不断摸索和总结严重烧伤病人的系统救治方法。结果:110例特重度烧伤病人,治愈108人,死亡2人,治愈率98.2%,有伤残者4例,伤残率3.6%,伤后12小时内入院并充分接受SPI治疗者(A组)与伤后12小时以后入院并未能充分接受SPI治疗者(B组)比较,并发症的总发生例数(P<0.05)、创面愈合时间(△P《0.002)和死亡加伤残率(P< 0.05)均有显著性差异。结论:特重度烧伤病人的冶疗难度很大,伤残率较高,不能单靠某一种方法或某一种药物治愈,必须具备系统观念(systematic idea)、预防观念(preventive idea) 以及治疗个体化 (individualize) 观念 (简称为SPI观念),同时灵活运用烧伤知识和临床经验,方可提高特重度烧伤病人治愈率,降低伤残率。

关 键 词:烧伤 治疗 SPI
文章编号:1001-0726(2003)02-0136-05
修稿时间:2002-08-05

Application of SPI in the treatment of severe burn
ZHOU Peng-Xiang,LUO Cheng-Qun,HE Quan-Yong,et al.. Application of SPI in the treatment of severe burn[J]. The Chinese Journal of Burns Wounds & Surface Ulcers, 2003, 15(2): 136-140
Authors:ZHOU Peng-Xiang  LUO Cheng-Qun  HE Quan-Yong  et al.
Affiliation:ZHOU Peng-Xiang,LUO Cheng-Qun,HE Quan-Yong,et al.Dept. of Burns,The 3rd Xiang-ya Hospital,Central South University,Changsha 410013,China
Abstract:Objective: To summarize the experience in the treatment of patients with severe burn, in order toimprove the treating method. Method: 110 patients with severe burn were treated in our hospital, the results were analyzedand the experience summarized. Results: 108 out of the 110 patients were cured. Conclusion: Patients with severe burncan not be cured by a simple treating method or by one drug. They must be treated under the guidance of SPI accordingto our clinical experience.
Keywords:Burn  treatment  SPI
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