【摘要】 目的　总结治疗 190例化学灼伤的临床经验 ,并对其诊疗原则进行探讨。方法　回顾性分析我院 1985年 1月～ 1998年 1月收治的 190例化学灼伤的临床资料。结果　 190例病人中 ,77.37%的患者其灼伤与工作中的意外事故有关 ,致伤化学物质多达 17种 ,多数患者有手、足部位的灼伤 ,平均灼伤面积为 4.5 0 %。经治疗 ,痊愈 185例 ,死亡 5例。结论　化学灼伤的诊断要考虑到诸方面的因素 ,力求准确 ;化学灼伤后要及时清除创面残存化学物质 ,持续冲洗 ,适当使用中和剂 ;对毒性化学物质灼伤应及时采取有效措施 ,防止毒物吸收中毒 ;同时还要根据患者病情 ,因人施治。更多还原

【Abstract】 Objectives To sum up our clinical experience of treating 190 cases of chemical burns and to discuss the fundamental principles in managing chemical burns. Methods A retrospective review from Jan,1985 to Jan,1998 was conducted on the patients who suffered from chemical burns and were treated in our burn unit. ResultOf 190 burned patients,77.37% were related to accidents during work.There were 17 different chemical agents involved.The majority of burns involved the hand and foot with an average burned area of 4.5%.185 patients were cured and 5 died. ConclusionsCorrect diagnosis of chemical burns can be acquired by analysing carefully history of case,nature of agents and clinical symptoms etc.The general principles of chemical burns include prompt debridement,copious irrigation,proper use of antidotes and prevention of systemic toxicosis.Individual treatment should be considered according to the personal condition of patient.更多还原