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吸入性损伤:病理生理学、诊断与治疗

Inhalation Injury: Pathophysiology, Diagnosis, and Treatment.

作者信息

Jones Samuel W, Williams Felicia N, Cairns Bruce A, Cartotto Robert

机构信息

Department of Surgery, North Carolina Jaycee Burn Center, University of North Carolina at Chapel Hill, 3007D Burnett Womack Building, CB 7206, Chapel Hill, NC 27599-7206, USA.

Department of Surgery, North Carolina Jaycee Burn Center, University of North Carolina at Chapel Hill, 3007D Burnett Womack Building, CB 7206, Chapel Hill, NC 27599-7206, USA.

出版信息

Clin Plast Surg. 2017 Jul;44(3):505-511. doi: 10.1016/j.cps.2017.02.009. Epub 2017 Apr 18.

Abstract

The classic determinants of mortality from severe burn injury are age, size of injury, delays of resuscitation, and the presence of inhalation injury. Of the major determinants of mortality, inhalation injury remains one of the most challenging injuries for burn care providers. Patients with inhalation injury are at increased risk for pneumonia (the leading cause of death) and multisystem organ failure. There is no consensus among leading burn care centers in the management of inhalation injury. This article outlines the current treatment algorithms and the evidence of their efficacy.

摘要

严重烧伤致死的典型决定因素包括年龄、损伤面积、复苏延迟以及吸入性损伤的存在。在主要的致死决定因素中,吸入性损伤仍然是烧伤护理人员面临的最具挑战性的损伤之一。吸入性损伤患者发生肺炎(主要死因)和多系统器官衰竭的风险增加。在吸入性损伤的管理方面,主要烧伤护理中心尚未达成共识。本文概述了当前的治疗方案及其疗效证据。

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