吸入性损伤气管切开问题的临床讨论

Clinical Discussion on Tracheotomy in Burn Patients with Inhalation Injury

目的 :为了进一步探讨吸入性损伤病人的气管切开时机与指征。方法 :回顾性总结分析了 1 981～ 1 998年 1 73例吸入性损伤的处理方法。他们中轻、中、重度吸入性损伤分别为 94 53和 2 7例 ,行气管切开者 57例。结果 :全组死亡 56例 ,病死率与烧伤伤情有一定关系 ,但主要死因仍为吸入性损伤程度 ,2 4小时之内行气管切开者病死率偏低。结论 :中、重度吸入性损伤宜尽早实行气管切开治疗 ,并有预防意义。

WT9.,10.25BZ]Purpose: The opportunity and indication of tracheotomy in burn patients with complicated inhalation injury were discussed. Method: 173 patients with inhalation injury treated during 1981~1998 were reviewed. The severity of injury were 94 minor, 53 moderate and 27 severe. Tracheotomy was performed on 57 patients. Result: 56 patients died. Though mortality had close correlation with burn severity, the main reason for death was attributable to severity of inhalation injury. For patients being performed with tracheotomy within 24 hours postburn, the mortality was relatively low. Conclusion: The earliest tracheotomy is recommended for moderate and severe inhalation injuries. [WT9.,10.25HZ][