高频喷射通气对重度烧伤合并吸入性损伤患者早期的呼吸支持.docVIP

精品论文 参考文献 高频喷射通气对重度烧伤合并吸入性损伤患者早期的呼吸支持 三明市第一医院烧伤科 福建省三明市 365000 【摘 要】目的：探讨高频喷射通气对重度烧伤合并吸入性损伤患者早期的治疗疗效。方法：选取2008年9月-2013年9月于我院就诊的重度烧伤合并吸入性损伤患者共58例，将患者随机分为观察组与对照组两组各29例，对照组患者采用持续性中低浓度给养，观察组患者采用高频喷射通气给氧并给予低浓度吸氧，后对比两组患者治疗情况。结果：观察组患者接受高频喷射通气其paO2较对照组相比，可快速提升且维持在较高水平，呼吸功能及早期功能得到明显改善。组间治疗效果比较具有明显差异，P＜0.05。结论：重度烧伤合并吸入性损伤患者早期使用高频喷射通气有利于患者呼吸氧合作用的改善且无任何副作用，可对患者提供呼吸支持，值得在临床上大力推广。 【关键词】高频喷射通气；重度烧伤；吸入性损伤 Abstract：Objective：To investigate the effect of high frequency jet ventilation in the treatment of severe burn patients with inhalation injury.Methods：in September 2012 to September 2014 in our hospital for treatment of severe burn with inhalation injury patients with a total of 58 cases，the patients were randomly divided into observation group and control group 29 cases in each group. The control group were treated by continuous low concentration of supplies，the observation group patients with high frequency jet ventilation supplies and at low oxygen concentrations，after compared two groups of patients with treatment. Results：in the observation group were treated with high frequency jet ventilation of the paO2 compared with the control group compared to the increased rapidly and maintained at a high level，early and respiratory function were improved significantly. Group treatment result compared with significant difference，P lt; 0.05. Conclusion：The early use of high frequency jet ventilation in severe burn patients with inhalation injury is beneficial to the improvement of patients with respiratory oxygen and without any side effects. It can provide respiratory support and is worthy of promotion in clinical practice. Keywords：high frequency jet ventilation；severe burn；inhalation injury 吸入性损伤是指患者吸入有毒烟雾及化学物品等物质后引起呼吸道烧伤以及肺部的损伤，严重会造成患者出现重度吸入性损伤，临床中吸入性损伤的主要致伤因素为有毒烟雾。 本次研究的主要目的是探讨高频喷射通气对重度烧伤合并吸入性损伤患者早期的治疗疗效，选取2008年9月-2013年9月于我院就诊的重度烧伤合并吸入性损伤患者共58例，作为本次研究的对象，其中观察组患者在接受高频通气给养治疗后取得良好效果，报告如下。 1 资料与方法 1.1 一般资料 选取2008年9月-2013年9月于我院就诊的重度烧伤合并