【摘要】 目的分析烧伤患者发生气道意外的原因并探讨急救措施,以提高对烧伤患者的气道管理水平。方法回顾性分析1990—2011年15例烧伤患者发生气道意外的临床资料。结果 15例发生气道意外的原因:气管切开过程中大出血、突然窒息各3例,俯卧位窒息、烧伤后期气道大出血、未行气管切开窒息、俯卧位脱管窒息各2例,气道误置胃管致吸入性肺炎1例。经紧急抢救成功6例,抢救无效死亡9例。结论头颈面部烧伤或大面积深度烧伤后,临床医生应多视角关注患者通气功能,提高自身预见能力和紧急事件的处理能力。更多还原

【Abstract】 Objective To analyze causes of airway accident in patients with burns and to explore first-aid measure in order to improve the airway management level of patients with burns.Methods Clinical data of 15 burned patients with airway accident from 1990 to 2011 were retrospectively analyzed.Results The causes of 15 patients with burns: 3 patients had hemorrhoea during incision of tracheal,3 patients had sudden asphyxia,2 had asphyxia in prone position,2 had airway hemorrhoea in later stage of burns,2 had asphyxia due to failure of tracheotomy,2 had asphyxia due to canal amotio in prone position and 1 had aspiration pneumonia due to gastric canal misplacement in airway.After emergency treatments,6 patients survived and 9 patients died.Conclusion Clinicians should pay more attention to ventilation function of patients who suffered massive and deep burns in head and face,and improve professional abilities in case of emergence.更多还原