爆竹厂火药爆炸烧伤的临床特征和治疗方法

目的探讨爆竹厂火药爆炸烧伤的临床特征和治疗方法.方法通过对临床患者的前瞻性规范治疗和回顾性研究,进行比较分析.结果爆竹厂火药爆炸烧伤多发生在暴露部位,以深度烧伤为主,常常合并有吸入性损伤、复合伤、火药中毒,发生休克和MODS的机会较高,病死率高.结论爆竹厂火药爆炸烧伤是以烧伤病理变化为主的复合伤.出现功能障碍最常见的器官是肺脏,应特别注重呼吸功能支持,创面用SD-Ag糊剂暴露治疗效果好.

Clinical characteristics and treatment of burn injuries following explosion of gunpowder in firecracker mills

Objective To investigate the clinical characteristics and treatment of work-related burn injuries following explosion of gunpowder in firecracker mills. Methods A retrospective study was conducted of 339 work-related burns patients injuried by gunpowder explosion and a prospective treatment principle was raised. Results While most patients had bruns on exposure area and the burns were usually deep dermal of full skin thickness,work-related burn injuries following explosion of gunpowder in firecracker mills combined with inhalation injury,compound wound and gunpowder poisoning generally had a high mortality and morbidity of burn shock and multiple organ dysfunction syndrome. Conclusion Work-related burns following explosion of gunpowder in firecracker mills is a compound injury characterized by pathologic changes of burns.The organ which presents dysfunction most frequently is lung and the support of respiratory function merits much more attention. It is of great use that the burn wound receives exposure therapy with silver sulfadizine.