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[重度吸入性损伤的呼吸支持与治疗]

[Respiratory support and treatment of severe inhalation injury].

作者信息

Guo Guang-hua

机构信息

Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2013 Apr;29(2):134-8.

PMID:23985200
Abstract

Although the study of inhalation injury is deepening gradually, its clinical treatment is still difficult, and its mortality rate remains high due to the complicated pathophysiologic characteristics. This article reviews the recent progress in research and treatment of inhalation injury, acute lung injury, and acute respiratory distress syndrome at home and abroad, focusing on the effect of mechanical ventilation models, including the non-invasive ventilation, lung protective ventilation, liquid ventilation, high frequency ventilation, on respiratory support in early stage of inhalation injury. The effects of medications for inhalation injury are summarized, and the prospect of stem cell therapy for inhalation injury is also discussed.

摘要

尽管对吸入性损伤的研究在逐渐深入,但其临床治疗仍然困难,由于其复杂的病理生理特征,死亡率仍然很高。本文综述了国内外在吸入性损伤、急性肺损伤和急性呼吸窘迫综合征的研究与治疗方面的最新进展,重点关注机械通气模式,包括无创通气、肺保护性通气、液体通气、高频通气,对吸入性损伤早期呼吸支持的作用。总结了治疗吸入性损伤的药物的作用,并讨论了干细胞治疗吸入性损伤的前景。

相似文献

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[Respiratory support and treatment of severe inhalation injury].[重度吸入性损伤的呼吸支持与治疗]
Zhonghua Shao Shang Za Zhi. 2013 Apr;29(2):134-8.
2
Comparison of conventional mandatory ventilation and high frequency oscillatory ventilation for treatment of acute lung injury induced by steam inhalation injury.传统强制通气与高频振荡通气治疗蒸汽吸入性损伤所致急性肺损伤的比较
Burns. 2006 Dec;32(8):951-6. doi: 10.1016/j.burns.2006.03.016. Epub 2006 Oct 10.
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[The influence of high frequency partial liquid ventilation on the cardiopulmonary function in dogs with inhalation injury].[高频部分液体通气对吸入性损伤犬心肺功能的影响]
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Ventilation strategies in paediatric inhalation injury.小儿吸入性损伤的通气策略
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Inhalation injury assessed by score does not contribute to the development of acute respiratory distress syndrome in burn victims.通过评分评估的吸入性损伤对烧伤患者急性呼吸窘迫综合征的发生没有影响。
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[Effects of high frequency oscillatory ventilation combined with incremental positive end-expiratory pressure on respiratory and circulatory functions of dogs with inhalation injury].高频振荡通气联合递增式呼气末正压对吸入性损伤犬呼吸和循环功能的影响
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Acute respiratory distress syndrome is as important as inhalation injury for the development of respiratory dysfunction in major burns.急性呼吸窘迫综合征在严重烧伤后呼吸功能障碍的发生过程中与吸入性损伤同等重要。
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Respiratory Management in Smoke Inhalation Injury.烟雾吸入性损伤的呼吸管理
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