论文部分内容阅读
肺吸入性损伤存活病人,远期临床和功能评价的报告并不常见。作者报告1例有气管、支气管明显烧伤的生存病人的远期功能测定结果。该例为20岁男性,汽车内爆炸而遭烧伤,烧伤总面积为15％Ⅱ°～Ⅲ°,包括双手、右大腿和面部。烧伤第1天由于声带水肿引起喘鸣而经鼻插管,但未进行机械换气。自气管、支气管内吸除大量烟屑和粘液,第7天行气管切开,且每天进行纤维支气管镜检查以吸出阻塞在节段气道内的粘液栓子。气管、支气管粘膜出血,吸
Infectious patients with lung injury, long-term clinical and functional evaluation of the report is not common. The authors report the long-term functional outcome of 1 patient with a significant bronchial and bronchial burn. The case is a 20-year-old man who explodes and burns in a car with a total burn area of 15% Ⅱ ° ~ Ⅲ ° including both hands, right thigh and face. The first day of burns was nasally intubated due to wheezing caused by vocal cord edema but no mechanical ventilation was performed. From the trachea, bronchial aspiration of large amounts of cigarette smoke and mucus, tracheotomy on day 7, and daily fiberoptic bronchoscopy to occlude mucus embolism blocked in the segmental airways. Trachea, bronchial mucosal bleeding, suction