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 summa- rized.Results As soon as the diagnosis was defined,traeheostomy should be done immediately,followed by oxygen therapy,tracheo-bronchial lavage,aspiration,and clearance of airway secretion.If there was pul- monary 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 po- sitioned 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 inhala- tion injury,and the treatment should be carried out conscientiously as early as possible,and great attention should be paid to prevent various complications.