吸入性损伤ppt模板.ppt

吸入性损伤;吸入性损伤的概念;吸入性损伤的原因;患者有下列情况便可考虑吸入性损伤可能：;吸入性损伤的特点;诊 断;诊 断;诊 断;诊 断;临床分类;分 期;危 害;针对病因区别对待;针对病因区别对待;不同喉烧伤的特点;喉烧伤的危险期;烟雾为主的化学损伤;烟雾为主的化学损伤;烟雾为主的化学损伤;烟雾为主的化学损伤;吸入性损伤的治疗;气管切开的指征;吸入性损伤的治疗;国外的一些进展;;;国外的一些进展;Prospective observational study in 100 patients admitted with suspicion of inhalation injury among 168 consecutive burn admissions to the ICU of a university hospital. Inclusion criteria, endoscopic airway assessment during the first hours. ENT/TB lesion grading was 1: oedema, hyperemia, hypersecretion, 2: bullous mucosal detachment, erosion, exudates, 3: profound ulcers, necrosis. ;Of the 100 patients (age 42?±?17?years, burns 23?±?19%BSA), 79 presented an ENT inhalation injury ≥ENT1 (soot present in 24%): 36 had a tracheobronchial extension, 33 having a grade ≥TB1. Burned vibrissae: 10 patients “without” suffered ENT injury, while 6 patients “with” had no further lesions. Length of mechanical ventilation was strongly associated with the first 24?hrs’ fluid resuscitation volume (p??0.0001) and the presence of inhalation injury (p?=?0.03), while the ICU length of stay was correlated with the %BSA. Soot was associated with prolonged mechanical ventilation (p?=?0.0115). ;;国外的一些进展;国外的一些进展;国外的一些进展;