Adults with severe tetanus treatment of 45 cases.docVIP

 PAGE \* MERGEFORMAT 11 Adults with severe tetanus treatment of 45 cases Study: Early WANG Jian, Pu Jian, Mayan Fei, Ma at sea, Lu Tao, Wei Bangning, Yan Haoran [Abstract] Objective To investigate the treatment of adults with severe tetanus. Methods of collecting since 2000, data of adult patients with severe tetanus, 45 cases of treatment and efficacy. Results 45 patients was treated with debridement, tetanus antitoxin, antibiotics, nutrition support, comprehensive treatment such as sedation antispasmodic .29 routine tracheotomy, in which mechanical ventilation in 5 cases, 16 cases without tracheotomy, 45 patients, 12 cases of pulmonary infection, in which tracheotomy group 4 cases, 8 cases did not open, 1 case complicated by deep vein thrombosis. Conclusion adults with severe tetanus, focusing on standardized comprehensive treatment, duration of cardiopulmonary organs to strengthen the protection and application of early tracheotomy ventilator-assisted breathing can be significantly improve the cure rate, improving the patient prognosis. [Keywords:] severe tetanus, tracheotomy, comprehensive treatment Tetanus is a serious threat to life of patients with acute specific infectious diseases, the incidence rate has decreased in recent years, but if handled properly will lead to serious consequences, in our hospital since 2000, a total of 45 patients with severe tetanus patients treated by standard treatment and actively prevent complications, results were satisfactory, are as follows. Materials and Methods 1. General Information A total of 45 patients in this group, 31 patients were male and 14 females, aged 21 years minimum, maximum of 75 years, mean age 42 years. Career for farmers in 35 cases, 3 cases of workers, unemployed, in 7 cases. Pathogenesis of iron nails or wood stabbed in 17 cases, 8 cases of falls, knifed injury in 7 cases, 5 cases of animal bites, plowing stabbed when an unknown object in 3 cases, brick injured in 3 cases, 1 ca