陈广哲 倪良宏
摘 要:目的:进一步了解烧伤并发高血糖症的发生率及探讨防治方法。方法:通过对113例烧伤并发高血糖患者年龄、性别、烧伤面积、休克复苏情况及高血糖发生时间和创面感染与否进行临床统计分析。结果:烧伤并发高血糖症与休克延迟复苏,休克期过量补充葡萄糖,大面积深度烧伤,严重感染等因素有关。结论:平稳渡过休克期,控制糖输入量,及时应用降糖药物,预防创面感染,利于防治高血糖症。
关键词:烧伤;高血糖症;防治
分类号:R644;R589.1 文献标识码:B
文章编号:1001-0726(2001)01-0048-02
Analysis of 113 Cases of Burn Complicated by Hyperglycemia
CHEN Guang-zhe(The Main Hospital of Huai Bei Mining Group , Anhui 235000)
NI Liang-hong(The Main Hospital of Huai Bei Mining Group , Anhui 235000)
Abstract:Objective: To investigate the incidence of burn complicated by hyperglycemia and its prevention and treatment. Method: Analysis of 113 cases of burn complicated by hyperglycemia was done in terms of age, sex, burn area, resuscitation, time of occurrence of hyperglycemia and wound infection. Result: Burn complicated by hyperglycemia was related to delayed resuscitation and overdose of glucose during shock stage, large area deep burn and severe infection. Conclusion: Smoothly tiding over shock stage, controlling glucose intake, timely applying hypoglycemic drug and controlling wound infection are key measures for prevention and treatment of complication by hyperglycemia.
Keywords:Burn; Hyperglycemia
作者简介:陈广哲(1948-),男(汉族),安徽肖县人,副主任医师. 倪良宏(1970-),男(汉族),安徽肥东人,主任医师.
作者单位:陈广哲(淮北矿工总医院烧伤科 安徽淮北 235000)
倪良宏(淮北矿工总医院烧伤科 安徽淮北 235000)
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