中国医科大学学报2016，Vol.45Issue(5)：464-466,3.DOI:10.12007/j.issn.0258-4646.2016.05.021
成批大面积烧伤合并烟雾吸入性肺损伤的救治分析
Acute Lung Injury after Extensive BurnMerging Smoke Inhalation:Treatment in 32 Cases of Early Stage
摘要
Abstract
Objective To summarize the treatment experience of extensive burn merging smoke inhalation acute lung injury(SIALI)in 32 early stage cases,and to provide a reference for the further improvement of success rate in early stage. Methods A total of 32 cases of extensive burn merging SIALI resulting from mine explosion that received clinical treatment and triage from November to December in 2014 were enrolled for the study. In addition,the experience of triage and prognosis(after injured in a month)to guide therapy was analyzed. Results Two of the 32 patients died from respiratory failure in shock period,after shock period(3 days after injured),19 bad sufferers were cured in the local hospital,and the oth⁃er 11 cases in stable condition were triaged to the nearby hospital. 1 month follow⁃up results showed that:patients who received therapy in local hospi⁃tal,one died from MODS in 3 weeks,one died from kidney failure in 4 weeks. The other 28 patients were alive. Conclusion For these patients who suffering from extensive burn merging SIALI received therapy in early stage,we should not only schedule positive anti⁃shock,tracheotomy,antibiot⁃ics,escharectomy and nutritional support or other treatments,but also face to the challenge of lacking medical resources from too more patients. Thus,we suggest to triage the wounded to nearby hospital after anti⁃shock treatment,so as to improve the success rate in early stage.关键词
成批烧伤/大面积烧伤/烟雾吸入性急性肺损伤/分流/灾难医学Key words
mass burns/extensive burn/smoke inhalation acute lung injury/triage/disaster medicine分类
医药卫生引用本文复制引用
孙亚楠,刘晓虹,孙树..成批大面积烧伤合并烟雾吸入性肺损伤的救治分析[J].中国医科大学学报,2016,45(5):464-466,3.基金项目
辽宁省临床能力建设项目（青年） （）
