摘要
目的：探讨吸入性损伤患者气管切开的时机与指征。方法：回顾分析1992～2004年我科收治的110例吸入性损伤患者的临床资料。结果：烧伤后1—12h行气管切开术57例，死亡9例；13～24h22例，死亡6例；24h后31例，死亡18例。12h前行气管切开者病死率明显低于〉24h切开者。轻度吸入性损伤患者病死率与中、重度比较，差异均有统计学意义（P均〈0．01）。中度与重度比较，差异无统计学意义（P〉0．05）。结论：中、重度吸入性损伤均为气管切开术的适应证，气管切开越早，病死率越低。
Objective： To study the times and indications of tracheotomy for inhalation injury. Method： The data of 110 patients with inhalation injury from 1992 to 2004 were retrospectively analyzed. Results： Tracheotomy was operated on 57 patients in 1 - 12 hours, 22 in 13 - 24 hours, and 31 in more than 24 hours after burn, and there were 9, 6, and 18 deaths after operation respectively. The mortality rate was higher in 1 - 12 hours group than other two groups （both P 〈 0.01 ）, but no significant difference was found between the two later groups （P 〉 0.05）. Mortality rate was higher in moderate and severe patients than in gentle patients （both P 〈 0.01 ）, but no significant difference was found between moderate and severe patients. Conclusion： Both moderate and severe inhalation injuries are indication of tracheotomy, and the effect is better in early tracheotomy.
出处
《山东大学耳鼻喉眼学报》
CAS
2006年第2期160-162,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
