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深二度烧伤怎么处理?

发布时间:2016-07-15   问大夫  责任编辑:红豆

热门推荐: 龙眼肉青黛罗汉果葡萄胎

生活中,因为失火,被烧伤的例子很多,被烧伤,伤势有轻有重。深二度烧伤,可能很多人都没听说过,深二度烧伤是非常严重的烧伤,伤者伤口愈合后,会留下伤疤,也会影响人体功能,给伤者自身带来很大的伤害。那么深二度烧伤怎么处理呢?下面和小编一起来了解一下吧。

深二度烧伤是什么意思

深二度烧伤属于重度烧伤,愈合很慢留下很大的瘢痕。烧伤区的皮肤皱缩、变形,影响功能。可植皮修复,必须要注意防止感染。冷水水冲洗烧伤或灼伤处,将会导致患处更为严重。

烧伤的严重程度取决于受伤组织的范围和深度,烧伤深度可分为Ⅰ度、Ⅱ度和Ⅲ度。

Ⅰ度烧伤损伤最轻。烧伤皮肤发红、疼痛、明显触痛、有渗出或水肿。轻压受伤部位时局部变白,但没有水疱。

Ⅱ度烧伤损伤较深。皮肤水疱。水疱底部呈红色或白色,充满了清澈、粘稠的液体。触痛敏感,压迫时变白。

Ⅲ度烧伤损伤最深。烧伤表面可以发白、变软或者呈黑色、炭化皮革状。由于被烧皮肤变得苍白,在白皮肤人中常被误认为正常皮肤,但压迫时不再变色。破坏的红细胞可使烧伤局部皮肤呈鲜红色,偶尔有水疱,烧伤区的毛发很容易拔出,感觉减退。Ⅲ度烧伤区域一般没有痛觉。因为皮肤的神经末梢被破坏。 烧伤后常常要经过几天,才能区分深Ⅱ度与Ⅲ度烧伤。 预后: 烧伤愈合取决于烧伤的深度和部位。表浅烧伤(Ⅰ度或浅Ⅱ度烧伤),坏死的皮肤脱落,表皮重新生长覆盖底层,几乎没有瘢痕。这类烧伤未破坏皮肤深层的真皮。真皮不能再生。 深度烧伤(深Ⅱ度烧伤及以上)损伤真皮。从创面边沿和烧伤区的残余表皮长出新表皮是很慢的。因此,愈合也很慢并留下相当大的瘢痕。烧伤区的皮肤皱缩、变形,影响功能。

深二度烧伤由火焰、高温固体和强辐射热引起的损伤由高温、化学物质或电引起的组织损伤。

深二度烧伤的症状

三度烧伤二度烧伤烧伤的严重程度取决于受伤组织的范围和深度,烧伤深度可分为Ⅰ度、Ⅱ度和Ⅲ度。

Ⅱ度烧伤损伤较深。皮肤水疱。水疱底部呈红色或白色,充满了清澈、粘稠的液体。触痛敏感,压迫时变白。

损伤到真皮层但仍有真皮层残留的烧伤创面为深2度烧伤。烧伤后常常要经过几天,才能区分深Ⅱ度与Ⅲ度烧伤。

深二度烧伤属于重度烧伤,愈合很慢并留下相当大的瘢痕。烧伤区的皮肤皱缩、变形,影响功能。可植皮修复,必须要注意防止感染。

深二度烧伤怎么处理

烧伤或灼伤后立即涂抹药物,能使患处减轻灼伤感,冷水水冲洗烧伤或灼伤处,将会导致患处更为严重。

愈后

烧伤愈合取决于烧伤的深度和部位。表浅烧伤(Ⅰ度或浅Ⅱ度烧伤),坏死的皮肤脱落,表皮重新生长覆盖底层,几乎没有瘢痕。这类烧伤未破坏皮肤深层的真皮。真皮不能再生。深度烧伤损伤真皮。从创面边沿和烧伤区的残余表皮长出新表皮是很慢的。因此,愈合也很慢并留下相当大的瘢痕。烧伤区的皮肤皱缩、变形, 影响功能。食管、胃和肺的轻度烧伤愈合良好。然而,更严重的烧伤可以产生瘢痕和瘢痕挛缩。食管瘢痕可导致吞咽困难,呼吸道瘢痕影响正常的血氧交换。

深二度烧伤饮食注意事项

1.多进食,尤其多食鸡蛋,豆类及其制品等易吸收的优质蛋白,

2.少食辛辣刺激性食物,如辣椒,,蒜等.

3.如不能自行进食,将从鼻腔中下胃管到胃内。

烧伤伤员早期不宜大量饮用白开水

烧伤伤员伤后早期常常有口渴现象,这通常是血容量不足的表现.烧伤面积越大,体液渗出越严重,口渴也就越明显.此时,伤员常不停地口服大量白开水,糖水或其它甜饮料,这是十分错误的。因为烧伤后渗出的体液不光是水分,还含有电解质,血浆等其它成分.如果单纯饮水,势必造成血晶体渗透压降低,使水分大量涌进细胞内,造成细胞内水肿,发生水中毒.而且烧伤伤员的这种口渴,靠饮水常难于解除,这就容易造成饮水过量而导致急性胃扩张,伤员会出现腹胀,呕吐,造成水分,电解质的大量丢失。所以,对中,小面积烧伤伤员在未获得静脉输液前,可口服适量的盐糖液,即在100毫升凉开水中加0.3克食盐,0.15克小苏打及适量的糖,或含盐的饮料,如加盐的热茶,米汤,豆浆等.原则上,口服补液应少量多次,酌情增减。

烧伤严禁事项

1、不要让衣服使受伤肿大部位受到压迫;

2、不要往伤口上涂任何药物;

3、不要接触受伤部位;

4、不要把附在受伤部位的东西取下。

看了以上小编的介绍,大家都知道深二度烧伤应该怎么处理,小编提醒伤者,要多注意饮食,不要吃辛辣食物,以免伤口恶化。

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