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目的:探讨综合治疗方案在成人重症破伤风治疗中的临床效果。方法:回顾广西柳州市工人医院重症医学科二病区38例成人重症破伤风患者临床资料,对所有患者实施包含创口处理、应用抗毒血清、控制并解除痉挛、抗生素治疗、预防性气管切开、心理治疗、营养支持在内的综合治疗。结果:经综合治疗后,38例患者治愈37例,死亡1率,治愈率为97.4%。结论:针对重症破伤风患者,给予规范综合治疗,并早期行气管切开并运用呼吸机辅助呼吸,临床疗效显著。
Objective: To investigate the clinical effect of comprehensive treatment in the treatment of severe tetanus in adults. Methods: The clinical data of 38 adult patients with severe tetanus were retrospectively analyzed in 38 cases of severe tetanus in the second ward of the Second Hospital of Guangxi Zhuang Autonomous Region. All the patients were treated with wound treatment, anti-virus serum, anticonvulsant, antispasmodic therapy, prophylactic tracheotomy , Psychotherapy, nutritional support, including comprehensive treatment. Results: After the comprehensive treatment, 38 patients were cured in 37 cases, 1 rate of death, the cure rate was 97.4%. Conclusion: For patients with severe tetanus, given standardized comprehensive treatment, and early tracheotomy and use of ventilator-assisted breathing, clinical efficacy significantly.