小儿吸入性损伤333例临床分析

目的　为了总结小儿吸入性损伤的临床特征 ,探讨其临床防治途径、方法和措施。方法　统计 333例小儿烧伤合并吸入性损伤 ,分析吸入性损伤与休克、感染及其预后之间的相互关系。结果　小儿吸入性损伤的休克和菌血症发生率分别为 47.6 4%和 18.92 % ,中、重度吸入性损伤其发生率分别高达 6 5 .85 %和 31.96 % ;有休克组菌血症发生率为 5 1.19%。死亡 6 7例 ,占 2 0 .12 % ;其中 39例 (5 8.2 1% )并发菌血症 2 3例 (34.33 % )直接死于菌血症。结论　感染是影响吸入性损伤预后的重要因素 ;吸入性损伤、休克是感染的重要诱因 ,是确立高危感染病人的重要依据。有效地治疗吸入性损伤、防治休克和对高危感染病人早期应用高效抗生素 ,可望降低感染发生率和死亡率 ,提高吸入性损伤的治愈率

Clinical analysis of inhaled injury in 333 burned infants and small children

Objective The puropse of this study was to delineate clinical features of inhaled injury in burned infants and small children,and investigate its prevention and treatment paths,methods and measurements.WT5”HZ]Methods WT5”BZ]Using the data of burns accompanied with inhaled injury in 333 infants and small children to analyse relation of inhaled injury with shock,infection and prognosis.WT5”HZ]Results WT5”BZ]Incidence of the shock and bacteremia from mild inhaled injury were 47.64% and 18.92% respectively,While the incidence from milddle-severe were 65.85% and 31.96% respectively;In the group associated with shock incidence of bacteremia was 51.19% .Sixty seven patients died,death rate was 21.12%(67/333);among the 67 patients 39(58.12%)were associated with bacteremia,23(34.3%)directly died from bacteremia.WT5”HZ]ConclusionsWT5”BZ] Results suggested that infection was an important factor influencing prognosis of inhaled injury,but inhaled injury and shock were the factors inducing infection,and important basis of recognizing the patientis at high risk.Effective treatment of inhaled injury,prevention and therapy of shock,and use of high effect antibiotics for high risk patients at early stage,would decrease mortality and incidence of infection,thus increase cured rate of inhaled injury.