[Clinical analysis of 333 cases of inhalation injury in burned children].
OBJECTIVE
To analyze the clinical features of inhalation injury in children, with the aim of improving its management.


METHODS
The incidence of inhalation injury in 333 cases of burned children was analyzed in terms of burn area, shock, infection and prognosis.


RESULTS
The incidences of shock and bacteremia were 41.14% and 18.92%, and those of moderate and severe inhalation injury were 58.76% and 31.96% respectively in burned children with inhalation injury. Bacteremia developed in 24.82% of the patients with shock. Among 67 patients who ultimately died, 58.21% of them were complicated with bacteremia ending in 34.33% of mortality. Early tracheostomy was beneficial in that less fluids were required for resuscitation.


CONCLUSIONS
Burn infection was an important factor affecting the prognosis of inhalation injury. And inhalation injury and shock were major inducers of burn infection. Early application of wide spectrum antibiotics and shock management were helpful in lowering of burn infection rate. Early tracheostomy might be beneficial to burn shock management.
Zhang
Hong
H
Department of Burns, The 159th Hospital of PLA, Zhumadian 463008, He Nan Province, P.R. China.
Yang
Xiaodong
X
Wang
Feng
F
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D002056:Burns / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012769:Shock / Q000453:epidemiology / Q000209:etiology*; D015208:Smoke Inhalation Injury / Q000401:mortality / Q000503:physiopathology*
D000900:Anti-Bacterial Agents