【摘要】 目的:探讨小儿烧烫伤并发腹泻病因、早期治疗方法,提高救治水平。方法:对2008~2014年我院共收治32例大面积烧伤早期并发腹泻患儿,根据其早期,临床表现、病因、治疗经过及预后进行分析总结,采用烧伤早期抗体克补液及腹泻补液、检测调节电解质、抗感染、维持肠道正常菌群、营养支持、创面换药等治疗措施。结果:在烧烫伤早期快速液体复苏过程中患儿出现腹泻,根据患儿腹泻原因同时给予抗休克、腹泻补液及止泻、调整胃肠道微环境,创面换药,患儿预后效果良好。结论:烧烫伤患儿早期并发腹泻,经过积极抗休克、合理补液、抗感染、创面包扎换药、湿润疗法、适当使用肠道微生态制剂、保护胃肠黏膜制剂后,患儿平穗度过休克期。增加成活率。更多还原

【Abstract】 Objective:To investigate the pathogeny and early treatment of bum and scald children complicated with diarrhea,in order to improve the level of treatment.Methods:From 2008 to 2014,our hospital had received 32 cases of children with extensive burned at early stage and complicated with diarrhea,according to the analysis and summary of their early clinical manifestations,pathogeny,treatment procedure and prognosis,treated by anti-shock and diarrhea fluid infusion,testing and regulating electrolytes,anti-infection,maintaining normal intestinal flora,nutritional support,wound dressing.Results:The children had appeared diarrhea in the process of rapid fluid resuscitation at the early stage of burn and scald,according to the diarrhea reasons and treated by anti-shock and diarrhea fluid infusion,anti-diarrhea,regulating micro environment of gastrointestinal tract and wound dressing,the children’s prognosis were good.Conclusion:For the bum and scald children at early state and complicated diarrhea,after the treatment of anti-shock,reasonable fluid infusion,anti-infection,wound dressing,moist therapy and appropriate use of intestinal micro ecological preparation and gastrointestinal mucosal protection preparation,the children can smoothly go through the shock stage and enhenced survival rate.更多还原