82例吸入性损伤治疗分析

目的通过对82例吸入性损伤的治疗分析,探讨有效的治疗方法,以提高其治愈率。方法选择1994年1月～1998年4月收治的中、重度吸入性损伤82例,对其死因及治疗效果进行分析。结果 82例中治愈33例、好转11例。死于吸入性损伤者24例,死于其他并发症14例。结论吸入性损伤的主要死亡原因为急性中毒、窒息和 ARDS。治疗上气管切开越早越好,雾化、气道灌洗,对防治肺部感染、促进稠痰和坏死粘膜排出具有较好效果。适当加大补液量,不会引起肺水肿。激素早期短时应用具有积极作用。

Analysis of the treatment of 82 patients with inhalation injury

Objective To learn the experiences and improve the treatment of inhalation injury. Methods Causes of death and treatment effects were analyzed in a group of 82 patients almitted from January 1994 to April 1998.Results Among the 82 patients,33 patients were cured,11 patients were improved and 38 patients died.Among the 38 cases of death,24 patients died directly of inhalation injury and 14 patients died of other complications.Conclusion The major causes of death of the patients with inhalation injury are acute intoxication,asphyxia,and ARDS(acute respiratory distress syndrome).For the treatment,tracheostomy should be carried out the earlier the better.Moistening of the airway and lavage may be effective in preventing lung infection,facilitating the ejection of phlegm and necrotic mucosa.The amount of fluid infusion should appropriately be increased and this will not lead to lung edema.Administra- tion of corticol hormone in the early stage for a short period will also result in positive effects.