摘要:患者男,47岁,在清理化粪池时被沼气火焰烧伤全身多处,伤后30min收入笔者单位。查体:患者意识清楚,体温36.6℃、脉搏102次/min、呼吸32次/min、血压90/60mmHg(1mmHg=0.133kPa),创面分布于头、面、颈、四肢及躯干。头面部肿胀明显,鼻毛烧焦,口腔黏膜烧伤,声音嘶哑,四肢凉,伤后30min无尿。诊断:(1)火焰烧伤总面积70%,其中深Ⅱ度30%、Ⅲ度40%TBSA;(2)中度吸入性损伤。入院后立即行气管切开并给予补液抗休克治疗,伤后第1个24h补液13090ml,其中电解质6090ml、胶体4000ml、水分3000m1.
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