爆竹火药爆炸烧伤伴吸入性损伤的救治  

Treatment on the patients of fireworks gunpowder blast injury accompanied with inhalation injury

作　　者：郭利刚[1] 葛礼正[1] 王凌东[1] 焦洋[1] 刘安军[1] 苏显林[1] 

机构地区：[1]安徽医科大学附属巢湖医院烧伤整形外科,巢湖238000

出　　处：《安徽医学》2012年第4期421-422,共2页Anhui Medical Journal

摘　　要：目的总结爆竹火药爆炸伤伴吸入性损伤的救治体会。方法对救治的84例患者临床资料进行统计分析。结果 84例中治愈59例,病死率29.8%。结论爆竹火药爆炸伤的吸入性损伤并发率高,病死率亦高。救治应早诊断,早治疗,保持气道通畅。伤后立即吸入高浓度氧或纯氧;预防性、及早地气管切开,应用带湿化的PEEP机械通气和气道灌洗;早期处理创面,切、削痂去除坏死组织,防止内脏并发症,以提高治愈率。Objective To summarize the experiences of treatment on the patients of fireworks gunpowder blast injury accompanied with inhalation injury.Methods Eighty four cases rescued in this hospital were analyzed in the study.Results Among the 84 cases,59 patients were cured,and 25 patients were died,the mortality was 29.8%.Conclusion Patients injured by the fireworks gunpowder blast have not only high complication rate of inhalation injury but also high mortality.Early diagnosis and treatment,keeping the airway unobstructed are the main measures of treatment.The patients should inhale high concentrations oxygen or pure oxygen immediately after injury.It is necessary to give the patients tracheotomy and to use the moisture mechanical ventilation with positive END-EXPIRATORY PRESSURE（PEEP） and airway lavage early and preventively.It is a key measure to deal with the wounded surface and eliminate or remove scab early in order to avoid visceral complications and improve cure rate.

关 键 词：爆竹火药 爆炸伤 吸入性损伤 

分 类 号：R644[医药卫生—外科学]