目的旨在提高破伤风的治疗水平 ,降低病死率。方法回顾性总结我院 38例破伤风患者的临床资料 ,结合文献进行分析。结果 38例中治愈 30例 ,死亡 8例 ,病死率 2 1% ,其中早期气管切开 ,补充能量 ,疗效较好。结论对重症破伤风患者应早期行气管切开术 ,必要时行机械通气 ,早期彻底清创 ,应用胃肠外营养及大剂量安定均可提高疗效 ,改善预后。 The purpose is to improve the treatment of tetanus and reduce the case fatality rate. Methods The clinical data of 38 patients with tetanus in our hospital were retrospectively analyzed and analyzed in combination with the literature. Results 38 cases were cured in 30 cases, 8 died, the mortality rate of 21%, of which early tracheotomy, energy supplement, the effect is better. Conclusions Tracheotomy should be performed in patients with severe tetanus at the early stage. Mechanical ventilation should be performed if necessary, and debridement should be performed early. The application of parenteral nutrition and high-dose diazepam can improve the curative effect and prognosis.