重度吸入性损伤的救治体会

目的　总结３０ 例重度吸入性损伤的治疗经验与失败教训。方法　从治愈与死亡病例中回顾与总结重度吸入性损伤的治疗经验。如：诊断明确即行气管切开、吸氧治疗,气道冲洗清除气道分泌物;皮质激素短期用于肺水肿或严重支气管痉挛时,鼓励病人咳嗽、深呼吸、翻身拍背、体位引流等。结果　本组３０ 例中治愈１４ 例,治愈率为４６－６％ ,死亡１６ 例,病死率为５３－３％ 。结论抓早、抓好各项治疗措施,重视并发症的防治,可提高此类病人的治愈率

Experience in the management of severe inhalation injury

Objective To summarize our clinical experiences in the treatment of severe inhalation injury accompanying extensive burn.Methods Retrospective analysis of 30 cases of inhalation injury(1980-1996) was done,the cure rate,mortality,effective treatments and lessons of failure were summarized.Results As soon as the diagnosis was defined,tracheostomy should be done immediately,followed by oxygen therapy,tracheo bronchial lavage,aspiration,and clearance of airway secretion.If there was pulmonary edema or severe bronchospasm,cortical hormone was used for a short time,in addition,the patients were encouraged to cough,breathe deeply,and change postures, as well as patted on the back and also positioned to facilitate posture drainage,etc.These measures were effective.In this series,there were thirty cases of severe inhalation injury.Fourteen patients(46.6%)were cured,sixteen patients died(53.3%). The result was basically satisfactory.Conclusion It is possible to increase the cure rate of severe inhalation injury,and the treatment should be carried out conscientiously as early as possible,and great attention should be paid to prevent various complications.;