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[烧伤患者及其呼吸问题]

[Burn patients and their respiration problems].

作者信息

Fassi Fihri J, Ezzoubi M, Boukind E H

机构信息

Centre National des Brûlés et de Chirurgie Plastique, Centre Hospitalier Universitaire Ibn-Rochd, Casablanca, Maroc.

出版信息

Ann Burns Fire Disasters. 2010 Dec 31;23(4):194-8.

Abstract

The characteristic features of respiratory disorders in burn patients are presented in a review of the literature. Respiratory disorders in burn patients are related to a direct mechanism, when the bronchial tree is injured by the transfer of thermal energy due to the burn, and/or by an indirect mechanism, when the lung's respiratory and ventilatory function is impaired by localized, regional, or general burns-related phenomena. These respiratory disorders are aggravated by the inhalation of gases contained in smoke. Diagnosis of these disorders is clinical and paraclinical, and has to be performed early and continuously. The patients require various types of therapy, e.g. oxygen therapy, clearing of the airways, improvement of ventilatory mechanics and respiratory function, antibiotic therapy, or surgical correction of sequelae. This taking in charge inevitably has to be multidisciplinary.

摘要

一篇文献综述介绍了烧伤患者呼吸系统疾病的特征。烧伤患者的呼吸系统疾病与直接机制有关,即烧伤导致的热能传递损伤支气管树,和/或与间接机制有关,即局部、区域或全身性烧伤相关现象损害肺部的呼吸和通气功能。吸入烟雾中的气体使这些呼吸系统疾病加重。这些疾病的诊断依靠临床和辅助临床检查,且必须尽早并持续进行。患者需要多种类型的治疗,如氧疗、气道清理、改善通气力学和呼吸功能、抗生素治疗或后遗症的手术矫正。这种治疗必然需要多学科协作。

相似文献

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[Management of severe burns during the 1st 72 hours].[严重烧伤72小时内的处理]
Ann Fr Anesth Reanim. 1997;16(4):354-69. doi: 10.1016/s0750-7658(97)81462-1.
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Respiratory changes after major burn injury.大面积烧伤后的呼吸变化。
Crit Care Med. 1982 Jan;10(1):25-8. doi: 10.1097/00003246-198201000-00006.
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Smoke inhalation: diagnosis and treatment.烟雾吸入:诊断与治疗。
World J Surg. 1992 Jan-Feb;16(1):24-9. doi: 10.1007/BF02067110.

本文引用的文献

1
[Late respiratory function complications following burns].[烧伤后晚期呼吸功能并发症]
Rev Mal Respir. 2008 Mar;25(3):328-32. doi: 10.1016/s0761-8425(08)71553-5.
3
Respiratory management of inhalation injury.吸入性损伤的呼吸管理
Burns. 2007 Feb;33(1):2-13. doi: 10.1016/j.burns.2006.07.007.
5
Lung injury from smoke inhalation.烟雾吸入所致肺损伤。
Paediatr Respir Rev. 2006 Jun;7(2):123-8. doi: 10.1016/j.prrv.2006.03.003. Epub 2006 Jun 2.
6
Pathophysiological basis of smoke inhalation injury.烟雾吸入性损伤的病理生理基础。
News Physiol Sci. 2003 Jun;18:125-9. doi: 10.1152/nips.01427.2002.
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[Inflammatory reaction and infection in severe burns].[严重烧伤中的炎症反应与感染]
Pathol Biol (Paris). 2002 Mar;50(2):93-101. doi: 10.1016/s0369-8114(01)00272-3.
9
Airway management and respiratory care of the burn patient.烧伤患者的气道管理与呼吸护理
Int Anesthesiol Clin. 2000 Summer;38(3):129-45. doi: 10.1097/00004311-200007000-00009.
10
[Management of severe burns during the 1st 72 hours].[严重烧伤72小时内的处理]
Ann Fr Anesth Reanim. 1997;16(4):354-69. doi: 10.1016/s0750-7658(97)81462-1.

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