【摘要】 目的:总结分析25例地震伤致气性坏疽伤员的救治经验,探讨救治方案,为临床工作提高参考。方法:回顾性研究25例地震伤致气性坏疽伤员的早期临床表现,诊断方法,隔离措施、临床管理及其预后。结果:共收治25例气性坏疽伤员,无一例死亡。院外诊断7例,院内诊断18例。截肢18例,开放性截肢12例,非开放性截肢6例;扩创7例。发生急性肾功能衰竭2例,行血液透析治疗后肾功能恢复;无院内交叉感染的发生。结论:早期诊断、治疗、早期隔离及全面、系统护理可以提高临床救治水平,改善患者的预后,避免院内交叉感染的发生。更多还原

【Abstract】 Objective:To summarize and analyze the cure experience of 25 wounded persons of gas gangrene due to earthquake injury,explore treatment plan,providing reference for clinical work.Methods:study the early manifestation,diagnosis,isolation measurements,clinical management and prognosis of these 25 gas gangrene wounded persons.Results:25 wounded persons were admitted totally,no one died.7 wounded got definite in other hospitals,18 ones in this hospital.12 wounded underwent open amputation,6 amputation and 7 debridement.2 persons got acute renal failure,renal function improved after dialysis;no cross infection occurred.Conclusion:early diagnosis,treatment,isolation and holistic nursing can help to improve cure level and prognosis,prevent cross infection.更多还原