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化学烧伤合并吸入性损伤的急救处理与气道管理:1例病例报告

First aid treatment and airway management for chemical burns combined with inhalation injury: A case report.

作者信息

Shen Yaxin, Fu Liming, Yue Zhicheng, Shi Weiliang, Li Chunyan, Zhang Chunjuan

机构信息

Luoyang Central Hospital Affiliated to Zhengzhou University Luoyang China.

出版信息

Respirol Case Rep. 2024 Dec 18;12(12):e70094. doi: 10.1002/rcr2.70094. eCollection 2024 Dec.

Abstract

Chemical burns account for a small percentage of burn patients, and there are even fewer burn patients suffering from chemical burns combined with inhalation injury. As chemical substances corrode the airway, which leads to persistent necrotic shedding of the respiratory mucosa and scarring contracture as the airway heals, a proportion of patients develop airway stenosis, requiring more aggressive treatment or even surgery. A 38-year-old female chemical factory worker sustained an inhalation injury due to exposure to reactive substances (liquid and smoke) during production. She developed third- to fourth-grade airway stenosis and dyspnoea 2 months postinjury. Interhospital consultation led to referral to the Second Affiliated Hospital of Xi'an Jiaotong University for tracheotomy and endotracheal stent implantation. Postoperative dyspnoea improved, and regular follow-up was performed. The treatment process of this patient has provided us with valuable experience in the initial management and respiratory tract care of chemical burn patients.

摘要

化学烧伤在烧伤患者中占比很小,而合并吸入性损伤的化学烧伤患者则更少。由于化学物质腐蚀气道,导致呼吸道黏膜持续坏死脱落,且在气道愈合过程中出现瘢痕挛缩,一部分患者会发生气道狭窄,需要更积极的治疗甚至手术。一名38岁的女性化工厂工人在生产过程中因接触活性物质(液体和烟雾)而遭受吸入性损伤。她在受伤2个月后出现三到四级气道狭窄和呼吸困难。经院际会诊后转诊至西安交通大学第二附属医院行气管切开术及气管内支架植入术。术后呼吸困难改善,并进行了定期随访。该患者的治疗过程为我们提供了化学烧伤患者初始管理和呼吸道护理方面的宝贵经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4659/11655304/27dda6b0ca9c/RCR2-12-e70094-g001.jpg

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