【摘要】 收治一例延期入院的成人特大面积烧伤，烧伤总面积91％，其中浅Ⅱ°18％，深Ⅱ°25％，Ⅲ°48％。伴吸入性损伤、烧伤休克、低蛋白血症及红细胞聚集症等。经正规化的MEBT／MEBO治疗，并辅以“耕耘”疗法等，创面意合较快，抗休克首先重视强心，保护肾功能，补液按“缺多少，补多少”的原则，使每小时尿量大于50ml。抗感染除强化创面处理外，预防性抗生素只使用9天，以后视伤员意识障碍、高体温、中性粒细胞出现中毒颗粒等情况，短程静脉滴注复达欣等广谱抗生素。病人救治成功，也由于全疗程重视了营养支持和对内脏功能的保护。更多还原

【Abstract】 A patient with 91 % TBSA burn, among them superficial second degree 18%, deepsecond degree 25% and third degree 48%, complicated by inhalation injury, shock, hypoproteinemiaand hemagglutination, was treated with MEBT/MEBO in a pmper way and associated with "ploughingand weeding"therapy. The wounds healed quickly. Anti-shock measures including cardio-tonic, re-nal function protecting and fluid infusion to keep the urine volume no less than 50 ml/hour, etc. wereadopted. Anti - infection measures included the application of antibiotics for 9 days for preventive pur-pose and then intravenous infusion of broad spectrum antibiotics when necessary. Sufficient nutritionsupport and protection of organ function played a very important role in the successful treatment of thepatient.更多还原