烧伤合并吸入性损伤全身感染的临床特征  

Clinical feature of systemic infection in burn patients with inhalation injury

作　　者：张宏[1] 杨晓东[1] 刘军辉[1] 吉天鹏[1] 袁仕安[1] 刘霞[1] 

机构地区：[1]解放军第159医院烧伤科,驻马店463008

出　　处：《感染．炎症．修复》2000年第2期100-102,共3页Infection Inflammation Repair

摘　　要：目的:探讨吸人性损伤的主要致死因素及其防治措施。方法:回顾分析我院1959～1995年收治的1539例烧伤合并吸人性损伤,对386例并发全身感染的临床特征进行探讨。结果:1539例吸人性损伤中死亡333例,其中237例与全身感染有关,占吸人性损伤总死亡人数的71.17%;烧伤面积、休克、吸人性损伤程度和抗生素的使用等因素影响感染的发生及预后;改善抗感染治疗措施后,感染发生率和死亡率降低,吸人性损伤治愈率提高。结论:感染是吸人性损伤的主要致死因素;针对影响感染发病的诱因采取综合性预防措施,降低感染的发生率和死亡率是提高吸人性损伤治愈率的重要措施。Objective:To study main fatal causes and means of prevention and treatment in burn patients with in halation injury. Methods: A retrospective clinical study of 1539 burn patients admitted into our unit from Jan, 1959 to Dec. 1995, in which 386 cases were complicated by systemic infection, was performed. Results: It was shown that 333 cases died among the 1539 victims, and among them 237, accounting for 71.17% of the 333 cases, died of systemic infection. The development and prognosis of infection were related to burn size, shock , various degrees of inhalation injury, administration of antibiotic and so on. The incidence and mortality of infection was reduced when the measures of treatment were improved, and the cure rate of inhalation injury was increased. Conclusion: It is suggested that infection might be a main factor leading to fatal outcome in patients with inhalation injury. The comprehensive prevention and treatment measures taken to control infection should be of great importance for the increase of the cure rate of inhalation injury.

关 键 词：吸人性损伤 感染 烧伤 

分 类 号：R64[医药卫生—外科学]