Clinical analysis of measures for preventing early postburn damage in improving survival rate of burn patients

VernacularTitle:烧伤早期损害的防治措施对提高烧伤存活率的作用
Author: Yue-Sheng HUANG ¹ ; Zong-Cheng YANG ; Guang-Xia XIAO ; Shi-Liang WANG ; Ao LI
Author Information

1. 第三军医大学附属西南医院
From:Journal of Third Military Medical University 2001;23(2):217-220
CountryChina
Language:Chinese
Abstract: Objective　To study the effects of measures for preventing early postburn damage in improving survival rate of burn patients during the third stage. Methods　12 568 burn cases admitted to our institute were chronically divided into three groups (1958-1980;1981-1990;1991-2000). Total burn surface area (TBSA), survival rate, incidence of burn shock, systemic infection and organ damage as well as the main treatments adopted in the recent decade were retrospectively analyzed. Results　Incidence of burn shock, systemic infection and organ damage were significantly lower, and the total survival rate and the survival rate in patients with different TBSA were markedly higher in the third group as compared with those in the first and the second group. Incidence of organ damage in patients treated with delayed fast fluid infusion, early escharectomy en masse, early enteral feeding, early prevention of inhalation injury and gut bacterial translocation were also significantly lower than in the control. Conclusion Measures taken in the third group for preventing early postburn damage play an important role in improving the survival rate of burn patients.