严重烧伤后应激性溃疡的综合防治.pdfVIP

# 6 12# ( ) 2008 35 Chin J Injury R epairW ound H ealing( E lec ron ic V ersion) , O c ober 2008, Vol 3, N o. 5 # # 谢举临 利天增 祁少海 徐盈斌 李厚东 刘旭盛 舒斌 唐锦明 作者简介: 谢举临, 男, 1973 年 9 月出生, 西瑞金人, 医学博士, 副教授主要擅长大 面积烧伤病人的救治, 对各种高压电击伤糖尿病外伤血管闭塞褥疮等各种原因引起 的慢性溃疡创面及烧伤后期瘢痕整形也有很深的研究主持和参与多项省市级课题, 研 究方向为增生性瘢痕形成机制及组织工程皮肤与创面愈合发表文章 60多篇 = 1985 4 2006 4 38 442, 38, 8. 6% ; 38 13, 34. 2% , , = ; ; ; A clin ical study of the characteristics, preven tion and treatm en t of stress u lcer after severe burn s X IE Ju-lin, LI T ian-zeng, QI Shao-ha i, X U Ying-bin, LI H ou- dong, LI UX u-sheng, SH U B in, TAN G J in-m ing D ep ar tm ent of Burns, the F irst Aff ilia- ted H osp ital, S un Yat-sen Un iversity, Guangzhou 510080, Ch ina =Abstract Objective T o exp lore he clin ical charac eris ics, preven ion and rea m en o f s ress ulcer af er severe burn. M ethod R e rospec ively ana lyzed he clin- ical charac eris ics and rea m en m e hods o f 38 pa ien s w i h s ress ulcer af er severe burn from 1985 A pr il o 2006 A pril in our hospi a.l Resu lt T hir y-e igh of 442 pa- ien s w i h burns severe su ffered from s ress u lcer, he inc idence ra e w as 8. 6% ; 13 severe of 38 s ress ulcer pa ien s w ere dead, he dea h ra e w as 34. 2% . Conclusion s T he s ress ulcer af er severe burns is rela ed o he shock and infec ion and o her s ress fac ors, herefore precluding he s ress fac ors, enhancing an -i gas r ic acid, ea ing ear,l pro ec ion of gas ric mucosa, som a os a ion and surg ical ream en if necessary, enhancing w ound ream en and an -i infec ion are effec ive rea m en m e hods of s ress u lcer af er severe burns. : 5 10080 ( ) 2008 3 5 Chin J Injury R epair