严重体表烧伤合并吸入性损伤的治疗体会
【摘要】目的:探讨严重体表烧伤伴吸入损伤的治疗方法。方法:对我科2007.2-2010.2收治的41例严重体表烧伤合并吸入性损伤患者的临床资料进行分析和总结。结果:该组患者治愈34例,死亡7例,死亡率17.1%。死亡病例均为重度吸入性损伤病人。结论:合理补液,加强烧伤创面处理,保持气道通畅和防治肺水肿、肺萎陷、肺部感染可提高严重体表烧伤伴吸入性损伤的治愈率。【关键词】严重体表烧伤;吸入性损伤;纤维支气管镜
【中图分类号】R644【文献标识码】A【文章编号】1008-6455(2011)04-0088-02
【Abstract】Objective:To explore the treatments in severe surface burns with inhalation injury. Methods:To make a retrospective analysis of41 cases with severe surface burns complicated by inhalation injury treated in ourdepartment in the period from february 2007 to february 2010. Results:34 cases were healing and 7 cases were dead, the rate of death is 17.1% and dead cases were severe Inhalation injury cases. Conclusion:It could raise wound healing rate by reasonable treat the fluid volume for resuscitation and burn wound, keepthe airtube unblocked, prevention and control the pneumonedemaatelectasis and infection in the lung.
【Key words】Severe surface burn; Inhalation injury; Fiberoptic bronchoscopy
吸入性损伤是热力和(或)烟雾引起的呼吸道甚至肺组织损伤 ......
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