吸入性损伤早期气管切开时机的临床研究  

Times and indications of tracheotomy for inhalation injury

作　　者：李冬严[1] 曹桂军[1] 刘积平[1] 杨佳伟[1] 李继华[1] 

机构地区：[1]中国人民武装警察部队吉林省总队医院,吉林长春130052

出　　处：《吉林医学》2010年第4期465-466,共2页Jilin Medical Journal

摘　　要：目的:探讨吸入性损伤早期气管切开时机。方法:将183例吸入性损伤病例以8 h为界,分为两组,轻、中、重度吸入性损伤分别为96例、57例和30例,行气管切开者84例。结果:全组死亡22例,8 h以内吸入性损伤按照气管切开参考指标,经气管切开者死亡率与8小时以后经气管切开者死亡率比较,2χ=9.099,P=0.003<0.05,差异有统计学意义。结论:吸入性损伤根据气管切开参考指征,对符合标准的早期预防性切开,大大降低了死亡率。Objective To explore the opportunity choice of tracheotomy for patients with extensive burns and inhalational trachea injure.Method Total 183 patients with extensive burns and inhalational trachea injure were divided into two groups by 8 h postburn,96 slight degree burns,57 mild degree burns and 30 heavy degree burns,and 84 patients had been performed with tracheotomy.Results For 22 patients died.The mortality of patients being performed with tracheotomy within 8 h post burn was lower than that of after 8 h post burn,there was significant difference（χ2=9.099,P=0.0030.05）.Conclusion The early preventive tracheotomy performed on the basis of reference of tracheotomy greatly reduces the mortality of patients with inhalation injures.

关 键 词：吸入性损伤 烧伤 气管切开术 

分 类 号：R644[医药卫生—外科学]