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Primary study of tracheotomy time after inhalation injury
Author(s): 
Pages: 387-389
Year: Issue:  5
Journal: CHINESE JOURNAL OF OTORHINOLARYNGOLOGY

Keyword:  烧伤吸入性气管切开术;
Abstract: 目的探讨吸入性损伤气管切开的最佳时机,以提高治疗吸入性损伤的疗效. 方法回顾性研究了1985~1999年76例吸入性损伤患者的临床资料,并以渗出高峰期出现时间为界分为6 h内(48例,简称1组)和6 h后(28例,简称2组)气管切开两组.比较伤后数小时内血气变化及预后情况.结论 1组患者动脉血氧分压在伤后6 h后明显高于2组,伤后48 h后二氧化碳分压明显低于2组.1组多器官衰竭13例(13/48),2组15例(15/28);1组死亡6例(6/48),生存42例(42/48);2组死亡13例(13/28),生存15例(15/28).两组患者多器官衰竭、死亡人数及生存人数差异均有显著性(P<0.01).结果中、重度吸入性损伤均为气管切开术适应证,吸入性损伤行气管切开术的最佳时机为伤后6 h内.
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