烧伤伴吸入性损伤行气管切开的抢救资料分析

Clinical study of tracheotomy in 96 patients with inhalation injury

目的探讨烧伤合并吸入性损伤患者行气管切开术的时机及并发症的预防和处理。方法对96例烧伤合并吸入性损伤病患行气管切开观察其预后。结果96例气管切开成功抢救91例,死亡5例,发生并发症18例(18.75%)。烧伤后6 h内气管切开并发症发生率(14.3%)明显低于其他时间段,按照烧伤程度由重到轻的并发症发生率分别为25.0%、17.3%、15.0%。结论头颈部烧伤合并吸入性损伤患者尽早行气管切开是抢救生命的重要而有效的手段。

Objective To study the opportunity of the tracheotomy for the patients with inhalation injury, and the management of the complications. Methods Ninety - six patients with inhalation injury underwent tracheotomy and their complete information was investigated retrospectively. Results Ninety - one of the 96 tracheotomy patients were saved. Complications occurred in 18 patients （ 18.75% ）. The patients receiving the operation less than 6 hours after burn （ 14.3% ） had less complications than the others, and the rates of complication were 25.0%, 17.3% and 15.0%, with decreasing order of severity . Conclusions Burn in the head and neck region accompanied by inhalation injury is the indication to early tracheotomy.