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目的:探讨重度吸入性损伤的治疗,提高治愈率。方法:对13例患者行预防性气管切开术,气管切开前行鼻导管吸氧,切开后予以气道湿化吸氧并及时吸痰,应用抗生素控制全身感染。结果:13例重度吸入性损伤患者12例治愈,1例死亡。结论:预防性气管切开是吸入性损伤抢救成功的关键,气道湿化、吸氧和保持气道通畅是治疗吸入性损伤的重要措施。
Objective: To investigate the treatment of severe inhalation injury and improve the cure rate. Methods: Thirteen patients underwent prophylactic tracheotomy. Before tracheotomy, nasal cannula was used for oxygen inhalation. After incision, airway was humidified and oxygen inhaled and sputum aspirated timely. Antibiotics were used to control systemic infection. Results: Thirteen cases of severe inhalation injury were cured in 12 cases and one case died. Conclusion: Tracheotomy is the key to the success of inhalation injury. Airway wetting, oxygenation and maintaining airway patency are important measures for the treatment of inhalation injury.