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目的探讨老年烧伤患者的临床特点及救治经验。方法选择2010年8月—2012年6月老年烧伤患者80例,入院后积极进行复苏治疗,给予全身营养支持,积极处理创面,必要时选用抗生素,并加强生活护理,观察治疗时间及效果。结果治疗时间1~85 d,平均(21±3)d。60例浅Ⅱ度烧伤患者经换药后治愈,20例Ⅲ度烧伤患者中12例行切削痂植皮术后治愈,3例行扩创术后植皮或肉芽创面植皮术后治愈,3例患者及家属放弃治疗,2例因吸入性损伤死亡。结论老年人烧伤病情隐蔽且变化快,并发症多,死亡率高,要早期治疗,积极应对并发症,加强营养支持,提高治愈率。
Objective To investigate the clinical features and treatment experience of elderly patients with burns. Methods Eighty elderly patients with burn were selected from August 2010 to June 2012. After admission, they were actively treated with resuscitation. They received general nutritional support and treated the wounds actively. When necessary, antibiotics were used, and life care was enhanced. The treatment time and effect were observed. Results The treatment time ranged from 1 to 85 days (mean, 21 ± 3 days). Sixty cases of superficial second degree burns were cured after dressing change. Twelve of 20 cases of third degree burns were cured by cutting excision and skin grafting. Three cases were cured by skin grafting or granulation wound grafting after endodontic surgery. Three cases were cured Family members to give up treatment, 2 cases of death due to inhalation injury. CONCLUSIONS: The burn in the elderly is subtle and rapidly changing with many complications and high mortality rates. Early treatment is needed to deal with the complications actively, strengthen nutrition support and improve the cure rate.