Sikora Łukasz, Misiołek Maciej, Krzywiecki Andrzej, Lisowska Graźyna, Paluch Zbigniew, Kawecki Marek, Namysłowski Grzegorz
Kliniczny Oddział Otolaryngologii 5 Wojskowy Szpital Kliniczny z Poliklinika SP ZOZ w Krakowie.
Otolaryngol Pol. 2011 Jan-Feb;65(1):33-9. doi: 10.1016/S0030-6657(11)70625-4.
Injuries caused by thermal trauma more and more often affect people and they are an important problem of contemporary medicine. It is connected with the civilization development. Burn concerns not only the exterior integuments of the body but also airways, in those cases, the death rate among those who were injured with the thermal trauma increases. The treatment of both the burns and their complications is a long-lasting process, involving many specialists of various disciplines, and not always does it bring the wanted effects. The aim of the study was the assessment of the late morphological sequels inside the larynx and ventilation efficiency as a result of thermal inhalation trauma in the airways of the coal miners after the methane explosion. The methodology of examinations consisted of subjective evaluation of ventilation efficacy by MRC scale and ventilating rate measurement FEV1, FVC, FEV1%, PEF, MEF50, PIF, MIF 50, FIV. The morphological larynx evaluation was conducted based on videolaryngoscopy. 23 injured coal miners, who had been burnt at work in coal mines in 2003 in the methane explosion, were put under scrutiny. All the above mentioned examinations were done to the study group, but also to the specially selected control group, 23 coal miners. During the ventilating rates analysis in the study group, their lower values were noticed in comparison to the control group, however, the values were still within the clinical norms. Videolaryngoscopy showed hypertrophy of the laryngeal tissues.
热创伤导致的损伤越来越频繁地影响人们，并且它们是当代医学的一个重要问题。这与文明发展相关。烧伤不仅涉及身体的外部皮肤，还涉及气道，在这些情况下，热创伤伤者的死亡率会增加。烧伤及其并发症的治疗是一个长期过程，涉及许多不同学科的专家，而且并不总是能带来理想的效果。本研究的目的是评估煤矿工人在甲烷爆炸后气道热吸入创伤导致的喉内晚期形态后遗症和通气效率。检查方法包括通过医学研究委员会（MRC）量表对通气效果进行主观评估以及测量通气率FEV1、FVC、FEV1%、PEF、MEF50、PIF、MIF 50、FIV。基于视频喉镜对喉部形态进行评估。对23名在2003年煤矿工作中因甲烷爆炸而烧伤的受伤煤矿工人进行了检查。上述所有检查不仅对研究组进行，也对特别挑选的对照组23名煤矿工人进行。在对研究组通气率进行分析时，发现其值低于对照组，但仍在临床标准范围内。视频喉镜显示喉部组织肥大。
