化学灼伤合并吸入性损伤56例早期治疗分析

摘要

Objective:To explore the comprehensive treatment in chemical burn combined with inhalation injury,so as to in-crease cure rate and reduce the incidence of complications and mortality.Methods:The Clinical data of 56 admitted cases of chemical burn combined with inhalation injury were retrospectively analyzed.Results:In the 56 cases,there are 25 cases of lung infection(44.6%);52 cases were cured (92.9%),and 4 cases died.Conclusions:For chemical burn combined with inhalation injury,on site decontamination and early emergency treatment should be placed a premium as well as relieving airway obstruc-tion in time,clearing of respiratory tract with bronchoscope,and maintaining effective respiration by respirator.For deep wound,early escharectomy and skin grafting or skin flaps grafting can reduce the possibility of poisoning and disability rate.%目的：探讨化学灼伤合并吸入性损伤的救治方法，以提高治愈率，降低并发症发生率及病死率。方法：回顾分析56例化学灼伤伴吸入性损伤患者的临床资料。结果：56例患者中，肺部感染25例（44．6％），治愈52例（92．9％），病死4例。结论：对于化学烧伤合并吸入性损伤患者，应重视现场洗消和早期急救处理，及时解除呼吸道梗阻，应用纤维支气管镜清除呼吸道内异物，应用呼吸机维持有效气体交换。对于深度创面，应早期行切削痂植皮术或皮瓣移植术，以减少吸收中毒，降低致残率。