再生医学技术治疗100例大面积重度烧伤休克期护理体会

目的:总结烧伤皮肤再生医学技术在大面积重度烧伤休克期的治疗护理要点和经验.方法:对1999年6月至2007年10月间,应用烧伤皮肤再生医学技术治疗的100例大面积重度烧伤病人的临床资料进行回顾性总结、分析.对烧伤休克期的基础护理、营养支持和精神护理等方面作了较为全面的总结,并详细介绍了具体的护理方法.结果:在100例患者中,中途转院6例;死亡3例;其余91例均平稳度过休克期并治愈,治愈率91%,其中7例气管切开病人,病情恢复良好,无并发症发生.结论:加强大面积重度烧伤病人休克期的护理和整体护理是挽救患者生命和后续治疗成功的前提保证;加强创面护理、预防和控制感染、加强营养支持及精神心理护理对减少并发症的发生、促进创面早日愈合、降低死亡率、致残率起着至关重要的作用.

Nursing Experience of Treating 100 Cases of Extensive Severe Burn Patients at Shock Stage with Skin Regeneration Therapy

Objective： To explore and summarize nursing points and experience of treating extensive severe burn patients at shock stage with skin regeneration therapy. Method： Clinical data of 100 cases of extensive severe burn patients at shock stage who were collected from Jtm. 1999 to Oct. 2007 were summarized and reviewed retrospectively. Nursing methods including basic nursing, nutritional support and mental care were thoroughly reviewed and summarized, and the detailed nursing operation was described. Result： Among 100 cases, except with 6 cases transferring to other hospital in mid -treatment and 3 （3%） cases died, the rest 91 cases were healed, having smoothly gone through shock stage, and cure rate was 91%, 7 cases of tracheotomy patients recovered well without complications. Conclusion： It is an assurance of life - saving and wound healing for extensive severe burn patients at shock stage to intensify nursing, especially full - scale nursing at shock stage. It plays the vital role in reducing the incidence of complications, mortality and disability and promoting wound healing to intensify wound nursing, to prevent and control infection, to pay more attention on nutritional support and physiological nursing.