Voeltz P
Abteilung für Anästhesie und Intensivmedizin, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Unfallchirurg. 1995 Apr;98(4):187-92.
Inhalation injury has an imminent impact on the morbidity and mortality of burn patients. Accuracy in diagnosis could be improved by fibre-optic bronchoscopy and arterial carbon monoxide oximetry. The heterogeneous components of inhaled smoke produce abnormalities of ventilation and lung perfusion. The objective of the management is to maintain sufficient oxygenation of the organism during the period of respiratory failure; there is no specific therapy. Adequate respirator therapy is the most important factor.
吸入性损伤对烧伤患者的发病率和死亡率有直接影响。纤维支气管镜检查和动脉血一氧化碳血氧饱和度测定可提高诊断的准确性。吸入烟雾的异质成分会导致通气和肺灌注异常。治疗的目的是在呼吸衰竭期间维持机体足够的氧合；目前尚无特效疗法。充分的呼吸治疗是最重要的因素。
