53例中重度吸入性损伤治疗分析  

作　　者：徐向荣[1] 张承德[1] 王进勇[1] 吴德勇[1] 

机构地区：[1]常德市第一人民医院烧伤整形科,湖南415000

出　　处：《当代医学》2016年第7期93-94,共2页Contemporary Medicine

摘　　要：目的通过对53例中重度吸入性损伤的诊治分析,探讨有效的治疗方法,以提高治愈率。方法选择吸入性损伤患者53例,总结诊断及治疗经验与失败教训。结果 53例中治愈45例,死亡8例。结论需防治上呼吸道梗阻,中重度吸入性损伤需预防性气管切开,及早机械通气、多种措施防治感染、重视烧死创面处理、清除分泌物及气道灌洗对防治肺部感染具有较好的效果。Objective By analyzing the diagnosis and treatment of the 53 cases of medium to severe inhalation injury, we aim to investigate effctive therapeutic method and improve the cure rate of inhalation injury. Methods We select the 53 cases of inpatients of medium to severe inhalation injury that admitted, and analyze the clinical information of these patients ,and sum up the experience that lead＇to success or failure. Results Among the 53 cases of patients, 45 were cured, while 8 died. Conclusion As our exerperice, we believe that to improve the cure rate of inhalation injury, there are three pieces of principles to follow. One is to prevent and cure respiraory tract obstruction, such as preventative trachea incision in medium to severe inhalation injury there are three pieces of principles to follow. One is to prevent and cure repiratory tract obstruction, such as preventative trachea incision in medium to severe inhalation injury patients and promptly mechanical ventilation. Second, multiple measures should be utilized to prevent infection, attach importance to the bum wound treatment; and at last but not the least clearing the trachea secration and bronchus lavage is important to the prevention and treatment of lung infection.

关 键 词：吸入性损伤 气管切开 治疗 

分 类 号：R644[医药卫生—外科学]