Hampton T R
Proc R Soc Med. 1977 Jul;70(7):487-9. doi: 10.1177/003591577707000712.
It is suggested that in patients exposed to the danger of smoke inhalation injury, whether or not they are also burned, the first requirement is extreme vigilance since the manifestations of inhalation injury are usually considerably delayed. Secondly, if evidence of this respiratory syndrome appears, steroids should be administered forthwith in substantial doses. Thirdly, where exposure to inhalation injury is known to have been severe, steroids should be used immediately, without awaiting development of respiratory distress.
建议对于面临吸入性损伤危险的患者,无论他们是否还伴有烧伤,首要要求是保持高度警惕,因为吸入性损伤的表现通常会有相当长的延迟。其次,如果出现这种呼吸综合征的迹象,应立即大剂量使用类固醇。第三,在已知吸入性损伤严重的情况下,应立即使用类固醇,而不必等待呼吸窘迫的出现。