对群发性大面积烧伤集中气管切开及气道管理的分析  

Analysis of the Centralized Performance of Tracheotomy on Large Quantities of Patients with Extensive Burns and the Airway Management

作　　者：徐光[1] 盛宏申[1] 刘文峰[1] 刘平平[1] 余巧[1] 杨和强[1] 

机构地区：[1]成都军区总医院耳鼻喉科,成都610083

出　　处：《西南军医》2010年第4期613-615,共3页Journal of Military Surgeon in Southwest China

摘　　要：目的探讨群发性大面积烧伤后早期集中气管切开及气道管理在伤员救治中的作用。方法回顾性分析13例大面积烧伤合并吸入性损伤伤员进行气管切开的临床资料,并对气管切开的时机、手术指征及气管切开后的气道管理进行讨论。结果除1例极重度烧伤伴急性多器官功能衰竭伤员于伤后48h死亡,其余伤员均成功度过休克期及感染期。结论对大面积烧伤合并吸入性损伤伤员早期实施气管切开及正确的气道管理,有效降低呼吸道及其他重要脏器的并发症,为烧伤伤员的成功救治奠定良好的基础。Objective To discuss the centralized performance of tracheotomy on large quantities of patients with extensive burns and the airway management.Methods A retrospective analysis was made to the clinical data of 13 cases with extensive burns complicated with inhalation injury receiving tracheotomy,and the right time for tracheotomy,the surgical indications and the airway management after tracheotomy were discussed.Results All the patients successfully tied over the shock period and infection period except 1 patient with extremely severe burns complicated with multiple organ failure（MOF）,who died 48 hours after being burned.Conclusions Early performance of tracheotomy and correct airway management for patients with extensive burns complicated with inhalation injury can effectively reduce the occurrence of complications in respiratory tract and other vital organs and can provide good bases for successful treatment.

关 键 词：烧伤 吸入性损伤 气管切开 气道管理 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]