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目的:通过对本院收治烧伤所致吸入性损伤患者的临床诊断和临床治疗措施进行研究,分析不同治疗方法的效果,以寻求最佳的治疗方案,挽救患者生命,同时也可提高因烧伤而出现的吸入性损伤病症的认识,为今后的诊断治疗工作提供有价值的临床依据。方法:选取本院2013年1月到2013年9月期间在我院就诊的烧伤所致吸入性损伤患者56例,通过查阅病例记录和回顾性分析的方法进行研究。结果:共出现7例死亡病例,其余患者生命得以保全。其中全部中、重度患者均进行了呼吸道清理,共对18例病患实施了气管切开术,紧急切开者15例,预防性切开者12例,切开前物明显吸入性呼吸困难症状。死亡病例方面,3例死于肺部感染和急性呼吸衰竭,3例死于创面脓毒症,另有1位患者死因为严重烧伤导致的急性肾功能衰竭。结论:烧伤所致吸入性损伤病情十分危急,且易于出现并发症,临床诊断和治疗中必须引起高度重视,妥善选择治疗方法和施用药物。正确的临床救治方案影响患者的预后,在临床基础上还应进一步加强研究。
OBJECTIVE: To study the clinical diagnosis and clinical treatment of patients with inhalation injury caused by burns in our hospital and analyze the effects of different treatment methods in order to seek the best treatment plan, save the patient’s life, The occurrence of inhalation injury awareness, diagnosis and treatment for the future to provide valuable clinical basis. Methods: Fifty-six patients with inhalation injury caused by burn in our hospital from January 2013 to September 2013 were selected, and the cases were reviewed and retrospectively analyzed. Results: A total of 7 deaths occurred and the remaining patients were saved. Among them, all patients with moderate and severe respiratory tract were carried out, a total of 18 patients underwent tracheotomy, emergency incision in 15 cases, prophylactic incision in 12 cases, incision precursor obvious inhalation dyspnea . In the case of deaths, 3 died of pulmonary infection and acute respiratory failure, 3 died of wound sepsis, and 1 died of acute renal failure due to severe burns. Conclusion: Inhalation injury caused by burns is very critical, and prone to complications, clinical diagnosis and treatment must pay close attention to proper choice of treatment methods and the application of drugs. Correct clinical treatment plan affects patient’s prognosis, and should be further strengthened on the basis of clinical research.