Wroblewski D A, Bower G C
Crit Care Med. 1979 Aug;7(8):335-8. doi: 10.1097/00003246-197908000-00003.
The medical records of 21 patients with smoke inhalation admitted to a medical ICU (MICU) were reviewed. Of 21 patients, 6 (29%) died. Of 21 patients, 13 (62%) had facial burns and 11 of the 13 (85%) later developed pneumonia. Only 1 of 8 patients (12%) without facial burns developed pneumonia (p less than 0.005). Of the 12 patients with pneumonia, 7 required ventilatory assistance and 6 of the 7 died in the MICU. The authors conclude that the presence of facial burns is associated with the later development of pneumonia in a high percentage of cases. Pneumonia contributes significantly to the high mortality rate. The need for ventilatory assistance in smoke inhalation patients is associated with a poor prognosis.
对入住医疗重症监护病房（MICU）的21例吸入烟雾患者的病历进行了回顾。21例患者中，6例（29%）死亡。21例患者中，13例（62%）有面部烧伤，其中11例（85%）随后发生肺炎。8例无面部烧伤的患者中只有1例（12%）发生肺炎（p<0.005）。12例肺炎患者中，7例需要通气支持，这7例中有6例在MICU死亡。作者得出结论，面部烧伤与高比例的患者随后发生肺炎相关。肺炎是高死亡率的重要原因。吸入烟雾患者需要通气支持与预后不良相关。
