摘要
目的 回顾本所 42年收治的吸入性损伤病例 95 9例 ,总结临床治疗的经验。方法 采用烧伤病案的微机处理系统 ,对第 1阶段 ( 1 95 8～ 1 980 )、第 2阶段 ( 1 981～ 1 990 )、第 3阶段 ( 1 991～ 2 0 0 0 )吸入性损伤病例和不同程度吸入性损伤依阶段 ,分别进行分析。结果 吸入性损伤病死率逐阶段下降 ,3个阶段的病死率分别为 48.93%、2 6 .6 0 %和 8.5 3% ;3个阶段的不同程度吸入性损伤病死率皆逐阶段降低。结论 近 1 0年来我所吸入性损伤病死率大幅度降低。伤后吸入高浓度的氧甚至纯氧 ;预防性气管切开 ;伤后早期进行小量反复的气道灌洗 ;早期应用带湿化的PEEP机械性通气 ;应用外源性肺表面活性物质治疗等
Objective To review the experience in the management of burned patients inflicted by inhalation injury in our institute in the past 42 years. Methods Patients with inhalation injury were analyzed chronically in three different periods as 1958 to 1980, 1981 to 1990, and 1991 to 2000. Results The mortality rates in general and in terms of different degrees decreased obviously with the elapse of time. In other words, the rates were 48.93%, 26.60% and 8.53 for the above three periods. Conclusion The mortality of inhalation injury was decreased dramatically during the last decade in our institute. Five main measures consisting of inhalation of high concentration or pure oxygen, preventive tracheotomy, frequent tracheal lavage with small amount of lavage fluid at early stage of postburn, mechanical ventilation with PEEP and humidification as early as possible, and application of exogenous pulmonary surfactant contribute greatly to the decrement of death rate in the patients with inhalation injury.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2001年第3期358-360,共3页
Journal of Third Military Medical University
