Feng Shengjuan, Jia Chiyu, Liu Zhen, Lyu Xiaowu
Department of Burns and Plastic Surgery, the 309th Hospital of PLA, Beijing 100091, China.
Zhonghua Shao Shang Za Zhi. 2016 Feb;32(2):122-5. doi: 10.3760/cma.j.issn.1009-2587.2016.02.014.
Among the fire victims, respiratory tract injury resulted from smoke inhalation is the major cause of death. Particulate substances in smoke, toxic and harmful gas, and chemical substances act together would rapidly induce the occurrence of dramatic pathophysiologic reaction in the respiratory tract, resulting in acute injury to the respiratory tract, thus inducing serious injury to it and acute respiratory distress syndrome, leading to death of the victims. In recent years, the pathophysiologic mechanism of severe smoke inhalation injury has been gradually clarified, thus appreciable advances in its treatment have been achieved. This paper is a brief review of above-mentioned aspects.
在火灾受害者中,吸入烟雾导致的呼吸道损伤是主要死因。烟雾中的颗粒物、有毒有害气体以及共同作用的化学物质会迅速引发呼吸道剧烈的病理生理反应,导致呼吸道急性损伤,进而引起严重损伤和急性呼吸窘迫综合征,最终导致受害者死亡。近年来,重度烟雾吸入性损伤的病理生理机制已逐渐明确,其治疗也取得了显著进展。本文对上述方面进行简要综述。