| 西宁地区烧伤病人动脉血气分析观察 |
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| 引用本文： | 聂兰军,高智仁,李毅,苏青和,彭正进,王富生,晁生武.西宁地区烧伤病人动脉血气分析观察[J].中华烧伤杂志,1996(1). |
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| 作者姓名： | 聂兰军 高智仁 李毅 苏青和 彭正进 王富生 晁生武 |
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| 作者单位： | 青海医学院附属医院烧伤整形科，武警上海总队医，青海医学院附属医院烧伤整形科，青海医学院附属医院烧伤整形科，青海医学院附属医院烧伤整形科，青海医学院附属医院烧伤整形科，青海医学院附属医院烧伤整形科 810001 西宁，810001 西宁，810001 西宁，810001 西宁，810001 西宁，810001 西宁 |
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| 摘 要： | 对高海拔地区的27例烧伤病人动脉血气变化进行了分析和观察。结果证明:无论是存活病人还是死亡病人伤后均存在有低氧血症问题。并且在死亡病人和烧伤合并吸入性损伤病人其低氧血症的发生早于单纯烧伤病人。提示:吸入性损伤病人应立即行气管切开术以保障氧气供给,单纯烧伤病人可常规吸氧以维持正常血 PaO_2,ARDS 均发生在合并吸入性损伤的病人,高频喷射通气技术对纠正低氧血症有一定效果。
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| 关 键 词： | 烧伤 高原 血气分析 |
Changes in blood gas in burned patients in Xining. |
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| Nie Lanjun,Gao Zhiren,Li Yi,et al..Changes in blood gas in burned patients in Xining.[J].Chinese Journal of Burns,1996(1). |
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| Authors: | Nie Lanjun Gao Zhiren Li Yi |
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| Institution: | Nie Lanjun,Gao Zhiren,Li Yi,et al.Burn Surgery Qinghai Medical College Hospital,Xining,810001 |
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| Abstract: | The changes in arterial blood gas were observed and analysed in twenty-seven burned patients at high altitude.It was showed that a serious hypoxemia existed in burn patients,both in sur- vivors and dead cases,and that hypoxemia occurred earlier in the cases with inhalation injury or dead cases than without inhalation injury.These results suggest that patients with inhalation injury should undergo tracheostomy as early as possible to ensure oxygen supply,and patients without inhalation in- jury should be give oxygen therapy routinely.ARDS occurred in all inhalation injury cases,and high fre- quency jet ventilation was effective in improving hypoxemia in such cases. |
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| Keywords: | Burn Blood gas High altitude |
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