解放军139医院(253000) 王淑杰 张传红 指导 张向清

    〔摘 要〕 本文总结了54例燃爆物烧伤并吸入性损伤的早期护理经验。全组平均烧伤面积42.5±31.3%，Ⅲ度面积7.4±8.2%，均伴有头、面或颈部烧伤，并有轻度吸入性损伤，采用鼻导管吸氧治疗可获得满意疗效，但在治疗过程中应严密观察病人是否有声音嘶哑、进行性呼吸困难等症状。如果发现病人出现声嘶、呼吸困难，采用鼻导管吸氧治疗常常无效，应及时报告经治医师作相应处理。与此同时，护理人员还应做好气管插管、气管切开及机械通气治疗的准备工作。全组总治愈率为70.37%。

    〔关键词〕 燃爆烧伤 吸入性损伤 护理

    Nursing Work for Patients Burned by Explosion and Complicated by Inhalation Injury Wang Shujie, et al. No. 139 Hospital,PLA 253000 〔Abstract〕 This paper summed-up the experience in nursing 54 patients burned by explosion and complicated by inhalation injury. The average burn area was 42.5±31.3%TBSA, with third degree burn area of 7.4±8.2%TBSA. All the patients were complicated by inhalation injury and had head, face or neck burns. Oxygen inhalation through nasal tube proved to be efficacious in treating such cases. The curative rate was 70.37%. The patients should be inspected carefully in the whole course of treatment. If hoarseness and progressive dyspnea happened, oxygen inhalation through nasal tube would become ineffective. This condition should be timely reported to the doctor in charge of the case and relevant measures should be adopted. In the mean time, preparatory work for operations such as tracheal cannula, tracheotomy and mechanical ventilation should be done in case of urgent need. ......