Among 740 patients with acute burns who were admitted to our burn center from 1972 through, 1975, thirty-six required upper airway access within the first 24 hours after burn for oral and facial burns or smoke inhalation. Nasotracheal intubation was initially used. Twelve survived; 11 were successfully extubated and one required a tracheostomy. If the patient had not sustained major smoke inhalation, extubation was usually possible without tracheostomy when edema subsided between one and six days after the burn. It is concluded that endotracheal intubation is a satisfactory method of gaining airway control in severe oral and facial burns and in smoke inhalation. The mortality associated with orofacial burns or smoke inhalation is related to the degree of lung damage, patients' s age, and the extent of the burn; it is not related to the method of upper airway control.

译文

在1972年至1975年进入我们烧伤中心的740例急性烧伤患者中,有36例需要在烧伤后的前24小时内进行口腔和面部烧伤或吸入烟气。最初使用鼻气管插管。十二个幸存下来;成功拔管11例,其中1例需要气管切开术。如果患者未持续大量吸入烟气,则在烧伤后1至6天浮肿消退时,通常无需气管造口术即可拔管。结论是气管插管是在严重的口腔和面部烧伤以及吸入烟气中获得气道控制的令人满意的方法。口腔烧伤或吸入烟尘的死亡率与肺部损伤程度,患者的年龄以及烧伤程度有关。与上呼吸道控制方法无关。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录