破伤风57例临床分析

Clinical Analysis of 57 Tetanus Cases

目的:对57例成人破伤风的临床表现及治疗进行总结,提高成人破伤风的治愈率,降低病死率。方法:分析57例成人破伤风患者的临床资料。结果:57例患者中痊愈52例(91.2%),死亡5例(8.8%)。结论:破伤风患者潜伏期愈短,病情愈重,病死率愈高。安定、氯丙嗪及鲁米那交替使用,可有效控制痉挛,重型病例应尽早气管切开,保持呼吸道通畅,是抢救成功的关键。

Objective ：To summarize and analyse the clinical manifestations and therapeutic measures of 57 patients with tetanus, to elevate the eure rate and reduee the mortality. Methods：To analyse the clinieal data of 57 patients with tetanus retrospectively and compare the clinical type and latent period. Results： These patients were received diazepam, chlorpromazine and phenobarbital alternately. The spasm was effectively controled. In these patents, 52 were cure （91.2%）, 5 were dead （ 8.8% ）. Conclusion ： The shorter latent period, the clinical type more serious, the mortality higher. The incision of trachea could be underwent in the severe patient under conventional therapy, it is the keypoint of successful salvage.