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目的 分析小儿吸入性损伤的临床特征 ,探讨其临床防治措施。 方法 统计 333例小儿烧伤合并吸入性损伤 ,分析其与烧伤面积、休克、感染及预后之间的关系。 结果 小儿吸入性损伤的休克和菌血症发生率分别为 4 1.14 %和 18.92 % ,中、重度吸入性损伤的发生率分别高达5 8 76 %和 31.96 % ;休克组菌血症发生率为 2 4 .82 %。 6 7例死亡中 ,5 8.2 1%并发菌血症 ,34.33%直接死于菌血症。对有适应证者早期气管切开较晚期手术复苏时间短 ,电解质与胶体补液量减少。 结论 感染是影响吸入性损伤预后的重要因素 ;吸入性损伤、休克是感染的重要诱因 ;防治休克以及对高危感染患者早期应用高效抗生素 ,可望降低感染发生率 ,提高吸入性损伤的治愈率 ;早期气管切开有利于休克复苏
Objective To analyze the clinical characteristics of children with inhalation injury and to explore its clinical prevention and treatment measures. Methods 333 cases of pediatric burn combined with inhalation injury were analyzed, and their relationship with burn area, shock, infection and prognosis were analyzed. Results The incidence of shock and bacteremia in children with inhalation injury were 4.14% and 18.92% respectively, and the rates of moderate and severe inhalation injury were as high as 58.16% and 31.96% respectively. The incidence of bacteremia in shock group was 2 4 .82%. Among 67 deaths, 5 8.21% were complicated by bacteremia and 34.33% died of bacteremia directly. Early indications of tracheotomy late surgical recovery time is short, electrolyte and colloid fluid volume reduction. Conclusions Infection is an important factor affecting the prognosis of inhalation injury. Inhalation injury and shock are important inducing factors of infection. Preventing and treating shock and early use of high effective antibiotics in high-risk infected patients are expected to reduce the incidence of infection and improve the cure rate of inhalation injury. Early tracheotomy is good for shock resuscitation