Petris Ovidiu Rusalim, Bologa Cristina, Sorodoc Victorita, Lionte Catalina
Nursing Department, 2nd Internal Medicine Clinic, "Sf. Spiridon" Clinical County Emergency Hospital, "Gr. T. Popa" University of Medicine, Iasi, Romania.
Internal Medicine Department, 2nd Internal Medicine Clinic, "Sf. Spiridon" Clinical County Emergency Hospital, "Gr. T. Popa" University of Medicine, Iasi, Romania.
J Crit Care Med (Targu Mures). 2017 Nov 8;3(4):162-165. doi: 10.1515/jccm-2017-0024. eCollection 2017 Oct.
A case of respiratory failure in a domestic fire victim presenting with 1-3-degree skin burns on 10% of the total body surface, is reported. Forty-eight hours after admission to hospital, the patient developed severe respiratory failure that did not respond to mechanical ventilation. Severe obstruction of the airway had resulted from secretions and deposits of soot forming bronchial casts. The patient required repeated bronchoscopies to separate and remove the bronchial secretions and soot deposits. An emergency bronchial endoscopic exam was crucial in the patient's survival and management. The patient was discharged from the hospital after twenty-four days.
报告了一例家庭火灾受害者呼吸衰竭的病例，该患者全身10%的皮肤有1至3度烧伤。入院48小时后，患者出现严重呼吸衰竭，对机械通气无反应。气道严重阻塞是由分泌物和烟灰沉积形成支气管铸型所致。患者需要反复进行支气管镜检查以分离和清除支气管分泌物及烟灰沉积。紧急支气管内镜检查对患者的存活和治疗至关重要。患者在24天后出院。
