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目的探讨烧伤所致吸入性损伤的临床诊断和临床治疗措施,寻求最佳治疗方法以尽可能挽救患者生命。方法对2010年2月~2011年10月我院收入的45例烧伤所致吸入性损伤患者进行相关治疗,记录并做回顾性分析。结果 45例患者中5例死亡,其余生命得以保全。其中气管切开者18例,紧急切开者14例,预防性切开者13例,切开前无明显吸入性呼吸困难症状。其中3例死于肺部并发症,2例死于创面脓毒症。结论烧伤所致吸入性损伤病情较严重,十分危急,应引起临床高度重视;正确临床救治影响患者预后,应进一步加强研究。
Objective To investigate the clinical diagnosis and clinical treatment of inhalation injury caused by burn and seek the best treatment to save the patient’s life as much as possible. Methods From February 2010 to October 2011, 45 cases of inhalation injury caused by burn in our hospital were treated, recorded and analyzed retrospectively. Results Of the 45 patients, 5 died and the remaining lives were preserved. Among them, tracheotomy in 18 cases, emergency incision in 14 cases, prophylactic incision in 13 cases, no obvious symptoms of aspiration before incision. Three of them died of pulmonary complications and two died of wound sepsis. Conclusion Inhalation injury caused by burns is more serious and very critical, which should be paid more attention in clinic. Correct clinical treatment affects the prognosis of patients and should be further strengthened.