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[Treatment of mass burns]
1Nanfang Hospital Burn Unit, 1st Military Medical University, Guangzhou, 510515.
Objective:
Present paper aims at summing up the experience from 42 cases over a four year period(1993-1997) in ten events of mass burn casualties.
Methods:
42 cases were analyzed retrospectively, in whom 15 cases sustained III degree burn over 50% TBSA. Among them 7 cases had III degree burn over 70% and 3 cases with III degree burn over 90%.
Results:
One case (70% TBSA) died of acute respiratory distress syndrome on third postburn day. Another (III degree 70%) died of acute renal failure on seventh postburn day. The remaining 40 cases were successfully cured.
Conclusion:
Experiences gained in burn care in these ten mass casualties included: sending forward the medical expertise to the site of disaster; airlifting to accelerate transportation, adequate resuscitation in shock stage; early massive excision of eschar and skin grafting; control of burn infection; prevention of Curling ulcer hemorrhage, emphasis on supportive therapy; and the establishment of a skin bank.