特重烧伤患者肺部感染的治疗

Treatment of pulmonary infection in patients of severe burn

  • 摘要: 目的: 探讨特重烧伤伴吸入性损伤患者的肺部感染有效的治疗方法。方法: 总结6例特重烧伤伴吸入性损伤和肺爆震伤患者的肺部感染的临床资料。结果: 6名伤员在伤后3.5~6 d内出现肺部感染,其中5名需气管切开及呼吸机辅助通气,3例接受机械通气2.5 d后出现肺部感染。经过综合治疗,所有患者的肺部感染均得到治愈。结论: 早期合理应用抗生素,防治呼吸机相关性肺炎,应用纤维支气管镜检查及治疗,加强呼吸道管理和营养支持,积极处理创面都是治疗特重度烧伤伴吸入性损伤患者的肺部感染的有效方法。

     

    Abstract: Objective: To explore effective treatment of pulmonary infection in patients of severe burn with inhalation injury and burn-blast combined injury. Methods: The clinical data of pulmonary infection in six patients with severe burn with inhalation injury and burn-blast combined injury were summarized. Results: Pulmonary infection of six patients occurred in 3.5-6 days after burned.There were 5 cases accepted incision of trachea and depended on mechanical ventilation,and 3 cases among these suffered pulmonary infection after 2.5 days.All cases of pulmonary infection were cured by combined therapy. Conclusion: To early apply antibiotics,prevent and cure ventilator associated pneumonia,apply bronchofibroscope,strengthen the management air tube and nutritional support,and to positively treatment the raw surface of burn were effective treatments of pulmonary infection in patients of severe burn with inhalation injury.

     

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