[Diagnosis and treatment of inhalation injury (a report of 62 cases)].
62 cases with inhalation injury are included in this paper. 19 patients died, constituting a mortality of 30.7%. Among the symptoms, there is a characteristic high-pitched laryngotracheal respiratory sound, which is produced by narrowing of the laryngo-tracheal tract due to edema after the injury. It can be heard in the middle of the neck with a stethoscope. It can be regarded both as a diagnostic sign of inhalation injury and an indication for tracheotomy. The pressure exerted by the eschar in the neck can be released by incising the eschar. Tracheotomy can be avoided in some patients after the releasing incisions. Other problems such as artificial ventilation, liquid resuscitation etc. are also discussed.
Zhang
M L
ML
Ji-Shui-Tan Hospital in Beijing.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002059:Burns, Inhalation / Q000175:diagnosis* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged