摘要
目的回顾本科10年收治的严重烧伤合并吸入性损伤患者96例,总结临床治疗经验。方法治疗原则是保持呼吸道通畅、吸氧,抗休克、抗氧自由基、抗炎、抗凝、抗感染,维护肠道及其它器官功能,注意基础疾病的治疗,加强护理。结果58例痊愈,治愈率为60.4%。38例死亡(轻度7例,中度15例,重度16例),病死率39.6%。结论治疗肺损伤,减少烧伤和胃肠道炎性介质、细胞因子的释放,阻断肺的二次损伤,对提高临床治愈率有着重要意义。
Objective The review undergraduate course 10 year admitting serious burn with inhalation injury the patient 96 cases, summarizes the clinical treatment experience. Methods The treatment principle is maintains the respiratory tract unobstrnctedly, attracts the oxygen, the anti-shock, the anti-oxygen free radical, the anti-inflammation, the antifreeze, the anti-infection, maintain the intestinal tract and other organ function, the attention foundation disease treatment, enhancement nursing. Results 58 cases healings, the cure rate is 60.4%. 38 cases deaths （mild 7 cases, moderate 15 cases, specific weight 16 cases）, case fatality rate 39.6%. Conclusion The treatment lung damage, reduces burns and the gastro-intestinal tract inflammatory medium, the cell factor release, blocks the lung two damages, to enhances the clinical cure rate to have the vital significance.
出处
《中华损伤与修复杂志（电子版）》
CAS
2007年第6期337-339,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
烧伤
吸入性损伤
肺水肿
肠黏膜屏障
治疗
预后
Burn
Inhalation injury
Pulmonary edema
Intestines mucous membrane barrier
Treatment
Prognosis
