突发群体性烧伤救治早期生命支持技术探讨  

Discussion on the Early-stage Life Support Technique for Mass Burns Treatment

作　　者：王欢锋[1] 费建平[1] 雷月[1] 翁建东[1] 张代玲[1] 俞灵 孙贺斌 

机构地区：[1]昆山市中医医院麻醉科,江苏昆山215300

出　　处：《中国烧伤创疡杂志》2017年第5期311-314,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨突发群体性烧伤患者救治早期的生命支持疗法。方法对昆山市中医医院100min之内收治的37例中、重度群体性烧伤患者进行紧急深静脉穿刺置管及气管插管等生命支持治疗,观察治疗效果。结果 34例合并吸入性损伤的患者均早期成功完成了深静脉穿刺置管及气管插管,成功率为100%。结论深静脉穿刺置管应首选股静脉,避免因误伤颈部动脉而带来的灾难性后果;视频喉镜与帝视内窥镜气管插管具有视野前置,无需口、咽和声门成直线,对咽喉及气道刺激小等优点,是抢救危重病患者快捷而有效的手段之一,特别是视频喉镜引导下的气管插管与传统气管插管路径接近,可作为困难气道开放的首选。Objective To discuss early-stage life support technique of mass burns treatment. Methods 37 pa- tients with moderate and severe burns admitted to Traditional Chinese Medicine Hospital of Kunshan within 100 min after in- cident were treated with deep venous catheterization and endotracheal intubation and other life-support treatments. The clini- cal effect was observed. Results Deep venous catheterization and tracheal intubation were conducted on all 34 patients with inhalation injury in early stage and the success rate was 100%. Conclusion Femoral vein should be the first choice for deep venous catheterization to avoid the accidental injury of cervical artery and consequent disastrous results. Deep ve- nous catheterization has the following advantages ： Glide scope and Discopo with front view, no need to align mouth, pharynx and glottis, small stimulation to throat and air duct - so it is a quick and effective means to rescue critically ill patients. As tracheal intubation guided by Glide scope shares the similar pathway with traditional tracheal intubation, it is regarded as the first choice to open air duct which is hard to open.

关 键 词：群体性烧伤 早期救治 生命支持 深静脉穿刺置管 气管插管 疗效 

分 类 号：R644[医药卫生—外科学]