烧伤合并急性呼吸道梗阻预防措施分析  

An Analysis of the Preventive Measures for Burn Complicated with Acute Respiratory Tract Obstruction

作　　者：裴卓禧[1] 潘剑[1] 丁永刚[1] 赵喜容 王冰[1] 张瑛[1] 李瑞合 

机构地区：[1]兰州大学第二医院急诊科,甘肃兰州730030

出　　处：《西部中医药》2017年第8期148-149,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:调查烧伤合并急性呼吸道梗阻的危险因素并探讨预防措施。方法:将189例患者按气管切开的时间分为观察组(98例)、对照组(91例),统计疾病的发生原因及并发症的发生情况。结果:2组的发生原因均以上呼吸道水肿为主;呼吸道梗阻、窒息、肺部感染及低氧血症等并发症的发生率2组比较,差异均有统计学意义(P<0.05)。结论:烧伤后出现急性呼吸道梗阻的主要是原因是上呼吸道水肿,对于此类患者在接诊后1小时内行气管切开术能有效地提高患者治疗效果,减少并发症。Objective： To investigate the risk factors of bum complicated with acute respiratory tract obstruction and the preventive measures. Methods： All 189 patients were divided into the observation group （98 cases） and the control group （91 cases） based on the time of tracheotomy, the conditions of the complications and the causes of the disease were counted. Results： The cause of both groups were the edema of upper respiratory tract mainly; the difference had statistical meaning in the comparisons of the incidence of the complications such as respiratory tract obstruction, apnea, pulmonary infection, hyoxemia and others between both groups （P〈0.05）. Conclusion： The main causes of bum patients suffering acute respiratory tract obstruction is the edema of upper respiratory tract, performing tracheotomy within one hour when the patients came to see the doctor could effectively raise therapeutic effects of the patients and reduce the complications.

关 键 词：烧伤 呼吸道急性梗阻 危险因素 预防 

分 类 号：R644[医药卫生—外科学]