头面部烧伤往往伴有呼吸道烧伤,极易发生呼吸道通气障碍、气体有效交换量减少和加重烧伤休克。中重度呼吸道烧伤,都需作气管切开。认真做好气管切开后护理,这是重度烧伤病员合并吸入性损伤时减少呼吸道和肺部并发症及降低死亡率的一个不容忽视的重要环节。重点是维持呼吸道通畅,保证良好的气体交换,促进呼吸道烧伤的愈合,预防感染及防止并发症的发生。我院1984年至1993年收治了52例重度烧伤,其中合并呼吸道烧伤及吸入性损伤12例占23%。男10例,女2例,年龄20～40岁,平均32岁。重度烧伤Ⅱ° Head and face burns are often accompanied by respiratory burn, prone to respiratory ventilation disorders, reduce the effective exchange of gas and increase burn shock. Severe respiratory burn, tracheostomy are required. Careful tracheotomy care, which is severe burn patients with inhalation injury to reduce respiratory and pulmonary complications and reduce mortality an important part can not be ignored. The key is to maintain the airway patency, to ensure good gas exchange, promote the healing of respiratory burn, prevent infection and prevent the occurrence of complications. From 1984 to 1993, our hospital admitted 52 cases of severe burn, of which 12 cases had respiratory burn and inhalation injury, accounting for 23%. 10 males and 2 females, aged 20 to 40 years, an average of 32 years old. Severe burns Ⅱ °