烧伤患者气管切开置管全国专家共识(2018版)  

National experts consensus on tracheotomy and intubation for burn patients(2018 version)

作　　者：无 明志国 雷晋[7] 段鹏 谭江琳 娄季鹤[4] 狄海萍[4] 王德运 黄跃生 The Burn and Trauma Branch of Chinese Geriatrics Society;Ming Zhiguo;Lei Jin;Duan Peng;Tan Jianglin;Lou Jihe;Di Haiping;Wang Deyun;Huang Yuesheng(Sixth Hospital of Shanxi Medical University;First Affiliated Hospital of Army Medical University (Third Military Medical University);First People's Hospital of Zhengzhou;Tongren Hospital of Wuhan University,Wuhan Third Hospital;State Key Laboratory of Trauma,Burns and Combined Injury,Institute of Burn Research,the First Affiliated Hospital of Army Medical University (the Third Military Medical University),Chongqing 400038;Burn Care Center of Shanxi Province,the Sixth Hospital of Shanxi Medical University,Taiyuan 030009)

机构地区：[1]中国老年医学学会烧创伤分会 [2]山西医科大学第六医院 [3]陆军军医大学(第三军医大学)第一附属医院 [4]郑州市第一人民医院 [5]武汉大学同仁医院暨武汉市第三医院 [6]陆军军医大学(第三军医大学)第一附属医院全军烧伤研究所,创伤、烧伤与复合伤国家重点实验室,重庆400038 [7]山西医科大学第六医院山西省烧伤救治中心,太原030009

出　　处：《中华损伤与修复杂志（电子版）》2018年第6期421-424,共4页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：大面积烧伤、头面颈部深度烧伤、吸入性损伤等易出现气道水肿、狭窄、梗阻甚至窒息,危及生命,及时行气管切开置管是重要的救治措施,而部分医院存在认识不足与处理不当,导致患者气道梗阻发生。经皮穿刺气管切开置管技术为危重症烧伤急救与成批烧伤的救治提供了便利,中国老年医学学会烧创伤分会组织国内部分专家,就烧伤患者气管切开置管的指征、时机、方法、拔管及注意事项进行讨论,撰写了《烧伤患者气管切开置管全国专家共识(2018版)》,为临床治疗提供参考标准。Airway edema, stenosis, obstruction and even asphyxia are easy to occur in patients with extensive burn, deep burn of head, face, and neck area, inhalation injuries, etc., which threaten life. Timely tracheotomy and intubation is an important treatment measure, but lack of knowledge and improper handling in some hospitals resulted in airway obstruction. The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn. The Chinese Geriatrics Society organized some experts in China to discuss the indications, timing, methods, extubation, and precautions of tracheotomy and intubation for burn patients. The national experts consensus on tracheotomy and intubation for burn patients (2018 version) was written to provide a reference standard for clinical treatment.

关 键 词：烧伤 气管切开术 置管 专家共识 

分 类 号：R632.9[医药卫生—外科学]