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題 名 | 煙霧吸入之肺損傷=Smoke Inhaltion Lung Injury |
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作 者 | 吳健樑; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 2:1 2000.01[民89.01] |
頁 次 | 頁65-71 |
專 輯 | 胸腔重症專題 |
分類號 | 415.46 |
關鍵詞 | 煙霧吸入; 肺損傷; 呼吸衰竭; Smoke inhalation; Lung injury; Respiratory failure; |
語 文 | 中文(Chinese) |
中文摘要 | 火場受害者的死亡率由於對燒傷輸液治療,皮膚傷口感染的有效控制,使得純粹死於燒傷者明顯減少,超過半數患者乃是死於肺部併發症。當病人吸入大量濃煙後,可因氧氣濃度太低或一氧化碳、氫化氰中毒,產生全身性中毒;或因吸入煙霧中的有毒物質而造成局部呼吸道及肺部傷害。吸煙霧吸入性呼吸道傷害可影響呼吸系統的任一部位。在上呼吸道主要是發生水腫,導致氣道阻塞;下呼吸道則發生纖毛清除能力下降,形成氣道内粘稠分泌物,導致感染;在肺實質則產生肺水腫。維持呼吸道通暢、氧氣治療、胸腔物理治療和機械性通氣輔助是治療的主要項目。使用高頻呼吸通氣方式是近年來對煙霧吸入性肺傷害治療上最重要的發展。 |
英文摘要 | Smoke inhalation is frequently associated with burn injury. The respiratory complications due to smoke inhalation include acute systemic effects from CO and HCN intoxication and respiratory tract injury as well as lung parenchymal injury. Tracheobronchial injry impairs the mucociliary clearance and leads to distal atelectasis favoring microbial infections. Inhalation injury also impairs surfactant function and the phyagocytic function of alveolar macrophage. The PMNs are activated releasing various reactive oxygen species altering the alveolar capillary permeability. All these pathological changes account for the development for airway obstruction, hypoxemia/hypercapnia, acute respiratory failure and pulmonary infection. HFPV has been proven to be a very effective ventilatory support recently in reducing the incidence of pneumonia and mortality. |
本系統中英文摘要資訊取自各篇刊載內容。