摘要
目的探讨烧伤合并吸入性损伤早期综合救治对提高治愈率,降低并发症及病死率的影响。方法吸入性损伤患者共270例按入院先后分成两组,治疗组150例,在采用常规传统治疗的同时,应用乌司他丁、血必净、沫舒坦治疗及人工鼻(呼吸过滤器);对照组120例,应用常规传统治疗,行早期气管切开,雾化吸入湿化气道,吸痰。结果治疗组150例,治愈148例(98.7%),死亡2例(1.3%),对照组120例,治愈98例(81.7%),死亡22例(18.3%),治疗组的治愈率高于对照组(χ2=23.79,P<0.01)。结论烧伤合并吸入性损伤早期气管切开前提下,在常规传统治疗的同时,早期应用乌司他丁、沫舒坦、血必净,在气管套管接上人工鼻,对提高治愈率,降低内脏并发症及病死率效果显著。
Objective To explore the effects of early comprehensive treatment on increaing cure rate, reducing complications and mortality in patients with inhalation injury combined with burns. Methods Two hundred and seventy patients were randomly divided into group A （treatment group, n=150） and group B （control group, n=120）. Patients in treatment group received ulinastatin, Xuebijing, mucosalvan and heat-moisture exchanger on the basis of traditional routine therapy. Patients in control group received traditional routine therapy, early trachotomy, aerosol inhalation, humidifing air passage and sputum sucking. Results In treatment group （150 cases）, 148 cases （98.7%） were cured and 2 cases （1.3%） died. In control group （120 cases）, 98 cases （81.7%） were cured and 22 cases （18.3%） died. The cure rate of treatment group was higher than those of control group （χ2=23.79,P0.01）. Conclusions It can increase the cure rate, decrease viseceral complications and mortality by early application of ulinastatin, mucosalvan, Xuebijing and heat-moisture exchanger on the basis of early trachotomy and traditional routine treatment in patients with inhalation injury combined with burns.
出处
《中华损伤与修复杂志（电子版）》
CAS
2011年第3期41-43,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
烧伤
吸入性损伤
早期综合救治
人工鼻
Burns
Inhalation injury
Early, comprehensive treatment
Heat-moisture exchanger
