SU1398874A1 - Method of treatment of patients having burns - Google Patents

Abstract

The invention relates to medicine, more specifically to combustiology, intended for the treatment of burn disease. The purpose of the invention is to reduce the treatment time of burned children. To do this, apply a cream with furacilinaneshesin ointment C, inject a tetanus toxoid and start an antishock. infusion therapy, including an anesthetic, for example, a solution of promedola, colloidal polyglucins and a reopolyglukina solution of Ringer, solution of NaCl, solution of glucose with the addition of insulin. Also included are drugs that eliminate acidosis, heart remedies (strophanthin or corglucon), vitamins, cocarboxylase, corticosteroid hormones, antihistamines, calcium chloride, diuretics. The volume of infusion means is determined by the weight of the child and the area of the burn. At the same time, treatment of electromyosis with the first days of burn disease is carried out daily for 1-2 sessions of 40-60 minutes. The central nervous system is impacted by a rectangular pulsed current of 5–8 mA with a constant component of 0.1–0.2 mA with a frequency of 10–15 Hz, then with a frequency of 140–150 Hz for 20–30 min each mode. During the period of toxemia and septicotoxemia, the exposure is carried out once a day. i (L

Description

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 The invention relates to medicine, namely combustiology, and can be used in the treatment of burn disease.

The purpose of the invention is to reduce the treatment time of burned children.

The method of treating patients with burns is carried out as follows.

After inspecting the burned, opre. dividing the area, extent, localization of the burn, and the period of the burn disease produce an ointment dressing with furacinilanestezin ointment (10 g of furac-iiHHa, 30 g of anesthesin, 500 g of vaseline-new oil) or with ointment anesteine: (3 g of tar, 3 g of xeroform, 4 g of castor oil, 6 g of anesthesia). In an obligatory order, |: tolbn ch1-sh1y toxoid 0.5 ml,

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I burn victims

antibiotic infusion therapy immediately begins, including intravenous administration of anesthetics (every 8-12 h 1-2% of the solution, delayed up to 10 years for a year of life at 0.1 ml, and after 10 years , 0 ml), colloidal solutions (Liglukine, reopolyglukine 1: 1 in a volume of ifM at the rate of 1 ml of solution ”

1 | of crystalloid liquids (0.9% ibacTBOpa sodium chloride, Winger's solution 1: 1 in the total volume from the calculation of 1 ml of the solution “body weight, kg” is 4, a.d. burn,%; 5-10 % solution of lyukoza at the rate of 30--35 ml weight of tejjia, kg, with the addition of insulin at the rate of 3 units of insulin per 1 g (iyxoro substances of glucose), protein ijpenapaTOB (100-200 ml of albumin or 100-300 ml of native nj-a3Nai), the introduction of drugs that eliminate acidosis (trisamine or 4% aqueous solution of sodium bica bonate 50-100 ml), cardiac drugs (0.05% solution of strophanthin 1-shi 0.06% - a good solution of corglucon 0.1-0.3 ml 2-3 once a day), vitamins (5% ascorbic acid solution, 1–3 ml every 4 hours, cocarboxylase 25–30 mg every 4 hours), corticosteroids (1 mg prednisolone solution per 1 kg of body weight per second; ducks for light burns and 2 mg each 1 kg of body weight for severe and; 1: severe burns), antihistamine preparations (1% solution of di

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Medrola 0.1 ml per year of life up to 10 years, and after 10 years 1.0 ml every 8-12 hours, 10% solution. calcium chloride at 1.0 ml per year of life up to 10 years, and after 10 years at 10.0 ml 1-2 times per day), diuretic drugs (1% aqueous solution of lasix 0.5-2 ml 3-4 once a day, depending on the diuretic effect and taking into account the child's body weight, that is, 0.1-0.3 ml of a 1% solution per 1 kg of body weight, 2.4% aqueous solution of Sufillin at 1.0 ml per year of life of the child, and after 10 years 10.0 ml 1-2 times per day). The volume of infusion means is thus determined by the weight of the child and the area of the burn. During the first 8 hours, half of the daily volume of liquid is poured over the child: spines, the volume of colloid and crystalloid solutions is halved in the next 24 hours, and the amount of glucose remains the same. Burn shock therapy lasts 1-3 days depending on the severity of the burn disease period.

At the same time with anti-shock infusion therapy, electrostimulation treatment has been carried out since the first days of burn disease. Electro-procedures are scheduled daily for one or two sessions lasting 40-60 minutes.

The procedure is performed by an Electrosleon-4T apparatus. An additional DC component of 0.1-0.2 mA DC is established, the frequency of the pulse current is 10-15 Hz, then the rectangular pulse current is gradually increased to the sensation threshold, as a rule, within 5-8 mA of amplitude value and served on the patient for 20-30 minutes, then the frequency of the current is switched to 140-150 Hz, while the additional constant value of 0.1-0.2 mA of direct current and the strength of the rectangular current are kept within 5 -8 mA peak value, With an additional constant component About 1–0.2 mA of direct current, a frequency of 140–150 Hz, and a rectangular impulse current of 5–8 mA, the amplitude value of the elec- tronic session is carried out for the next 20–30 min. Thus, in the course of the session, an additional DC component and the strength of the rectangular pulsed current remain

unchanged, except for the frequency of the current, which varies after 20-30 minutes. The daily duration of the session is 40-60 minutes, and during the period of burn shock, the therapy with an electromotive can be performed 2 days a day. Regardless of the onset of sleep during the session, which usually occurs 3-10 minutes after the current is applied to the patient, the therapeutic effect of electrosynx is manifested, namely, potentiation of the action of painkillers, improvement of microcirculation and metabolic processes, impact on the hormonal stress response link, anticoagulant and antihypoxic action. Thanks to these qualities and the use of two frequency parameters of an electro- son in one session, one can shorten the course of treatment of burned ones.

The following ligation of the calcined is carried out after removal from the shock, i.e. after 1-3 days All subsequent dressings with purulent wounds are performed daily with antiseptic solutions (2% boric acid solution, furatsilin solution 1: 5000,

the introduction of a 0.05% solution of strophanthin (0.15 ml), a 5% solution of ascorbic acid (2.0 ml), cocarbo silase (50 mg), a solution of prednisolone (15 mg), 1% - solution of Dimedrol (0.2 ml), 10% calcium chloride solution (2.0 ml), 1% lasix solution (0.5 ml), 2.4%

10 solution of aminophylline (2.0 ml). Taking into account that the child has a mild shock, they did not inject colloidal solutions, and means that eliminate acidosis. V. the end of the first day repeated infusion therapy

15 with the introduction of liquids in the amount of 254 ml. The total volume of infusion media during the first day was 864 ml. At the same time in the complex of anti-shock therapy conducted

2Q electrowash treatment according to the proposed

method (daily one session. 60 minutes), Therapy of burn shock was given daily. The following dressing was performed through

25 days with Vishnevsky ointment or oil-drying dressings containing sea-buckthorn oil and 2% boric acid solution were made; several days of dressing were made daily with 2%

a solution of rivanol 1: 1000), with a solution of boric acid. In the stage, ty wounds of dressing are done through the day of toxemia and septicotoxemia of the procedure.

98874

the introduction of a 0.05% solution of strophanthin (0.15 ml), a 5% solution of ascorbic acid (2.0 ml), cocarboxylase (50 mg), a solution of prednisolone (15 mg), 1% - solution of Dimedrol (0.2 ml), 10% calcium chloride solution (2.0 ml), 1% lasix solution (0.5 ml), 2.4%

10 solution of aminophylline (2.0 ml). Considering that the child has a mild shock, they did not inject colloid solutions, and the means to eliminate acidosis. V. the end of the first day repeated infusion therapy

15 with the introduction of liquids in the amount of 254 ml. The total volume of infusion media during the first day was 864 ml. At the same time in the complex of anti-shock therapy conducted

2Q electrowash treatment according to the proposed

method (daily one session. 60 minutes), Therapy of burn shock was given daily. The following dressing was performed through

25 days with Vishnevsky ointment or oil-drying dressings containing sea-buckthorn oil and 2% boric acid solution were made; several days of dressing were made daily with 2%

with ointments (Vishnevsky ointment, sea buckthorn oil) or use oil-dressing dressing consisting of ointments and antiseptic solutions, also every other day, having a drying and antiseptic effect and thereby reducing intoxication. Yri need for dressing add antibiotics depending on the sensitivity of the wound microflora

Example. Patient Sh., 2 years old, got burned with hot water. After 2.5 h, he entered the burn center with a diagnosis of a burn of 2–3 A degrees of the trunk, cubits, perineum, lower extremities (18% of the body surface), mild burn shock. On admission, a dressing with furatsilinanesozin ointment was made and a column toxoid (0.5 ml) was injected. Immediately start anti-shock infusion therapy which included a single injection of 2% promedol (0.2 ml), 0.9% sodium chloride solution (200.0 ml), Ringer's solution (200.0 ml), 10% glucose solution (100.0 ml with insulin 3 units).

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Electrosleep was repeated with the same current parameters for one session daily for 60 minutes, for a course of treatment for 11 sessions. Once preserved blood was transfused 150 ml. Nerabolsht was administered (3.25 mg twice with an interval of 7 days). The wounds healed in t2 days. Discharged home in satisfactory condition.

Claims (1)

Invention Formula A method of treating patients with burns, including the imposition of ointment patches, conducting anti-shock infusion therapy of an electrosign, which is aimed at shortening the treatment time of burnt children and affecting the central nervous system with a rectangular impulse current of 5-8 mA s the constant component is 0.1–0.2 mA, first with a frequency of 10–15 Hz, then with a frequency of 140–150 Hz for 20–30 min each mode, while in the period of burn-in. In shock, the exposure is carried out twice a day, and during toxemia and septicotoxemia, once a day.