呼吸道烧伤气管切开的指征与时机选择

The indication and choice of the right time for tracheotomy of patients with airway burn

目的 :探讨烧伤伴吸入性损伤患者气管切开的时机与指征。方法 :回顾性总结分析 18例在烧伤 2 4小时内行气管切开术和 2 1例在烧伤 2 4小时后行气管切开术。结果 :在烧伤 2 4小时内行气管切开术者死亡 1例 ,2 4小时后行气管切开术者死亡 8例。结论 :大面积烧伤伴呼吸道损伤 ,在烧伤后及早行气管切开术可降低死亡率 。

Objective: To find the best time and the indication for tracheotomy of patients with respiratory tract burn. Method: Eighteen cases were subjected to tracheotomy before 24 hr post burn and 21 cases after 24 hr. Result: One of the 18 cases subjected to tracheotomy before 24 hr post burn died and 8 among the 21 cases subjected to tracheotomy after 24 hr died. Conclusion: Early tracheotomy should be done for large area respiratory tract burn in order to decrease death rate. The main cause of death is respiratory tract obstruction.