论文部分内容阅读
小面积烧伤为小儿外科门诊常见病,处理方法很多,但疗效欠佳,且护理有一定困难。作者1989年以来用75%酒精湿敷包扎治疗小儿小面积烧伤41例,效果满意。临床资料 本组41例中住院病例18例,门诊病人23例。患儿年龄最小10月,最大14岁,平均3.1岁。创面64处,其中位于四肢者52处、胸腹部8处、面部3处、臀部1处。浅Ⅱ°创面46处、浅Ⅱ°~深Ⅱ°创面17处、深Ⅱ°~Ⅲ°创面1处。烧伤面积为1%~9%,平均4%。2例为沥青和生石灰水烧伤,其余均为热液烫伤或火焰烧伤。就诊时间为0.5~14 h。方法 局部清创后以75%酒精湿敷包扎,根据以往经验,5~7天后换药,创面大多基本愈合,残留小创面不揭除最内层纱布继前包扎,感染创面改用雷佛奴尔纱布湿敷包
Small area burn is a common outpatient pediatric surgery, many ways to deal with, but poor efficacy, and nursing a certain difficulty. Since 1989, 75% alcohol wet dressing bandage in children 41 cases of small area burn, the effect is satisfactory. Clinical data of 41 cases in this group of 18 cases of inpatient, outpatient patients in 23 cases. The youngest child in October, up to 14 years old, with an average of 3.1 years old. Wound 64, which is located in limbs 52, chest and abdomen 8, face 3, buttocks 1 Department. There were 46 shallow Ⅱ ° wounds, 17 shallow Ⅱ ° ~ Ⅱ ° wounds and 1 deep Ⅱ ° ~ Ⅲ ° wound. Burns area of 1% to 9%, an average of 4%. 2 cases of bitumen and lime water burn, the rest are hydrothermal burns or flame burns. Visit time is 0.5 ~ 14 h. Methods Local debridement with 75% alcohol wet dressing, based on past experience, 5-7 days after the dressing, the wound most of the basic healing, residual small wounds do not remove the innermost gauze, before the bandage, infected wounds switched to Levu slave Er gauze wet package