物理性气道廓清技术在吸入性损伤治疗中的应用进展

张宇翔; 兰美娟; 梁诗雨; 韩春茂

doi:10.3760/cma.j.cn501225-20220608-00226

物理性气道廓清技术在吸入性损伤治疗中的应用进展

doi: 10.3760/cma.j.cn501225-20220608-00226

1.
浙江大学医学院附属第二医院烧伤与创面修复科，杭州　　310009
2.
浙江大学医学院附属第二医院护理部，杭州　　310009
3.
浙江大学医学院附属第一医院护理部，杭州　　310003

基金项目:

浙江省级重点研发计划 2019C03083

详细信息

通讯作者:
韩春茂，Email：zrssk@zju.edu.cn

计量
- 文章访问数: 170
- HTML全文浏览量: 42
- PDF下载量: 31
- 被引次数: 0
出版历程
- 收稿日期: 2022-06-08

Advances on the application of physical airway clearance techniques in the treatment of inhalation injury

1.
Department of Burns and Wound Repair, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
2.
Department of Nursing, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
3.
Department of Nursing, the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China

Funds:

Zhejiang Provincial Key R&D Program of China 2019C03083

More Information

Corresponding author: Han Chunmao, Email: zrssk@zju.edu.cn

摘要

摘要: 尽管烧伤伴吸入性损伤患者的救治已经取得了很大成功，但从流行病学方面来看，吸入性损伤仍是目前群体性烧伤最常见的死亡因素，此类患者往往体表烧伤总面积较大，救治困难，其中气道管理是核心环节之一。物理性气道廓清技术（ACT）通过物理的方式作用于患者呼吸系统，使气道内的分泌物及异物排出，实现气道廓清，改善气体交换；此外，该技术还对诸多并发症具有防治或缓解作用，从而改善吸入性损伤患者的临床结局。该文就物理性ACT在吸入性损伤治疗领域的应用进行综述，为临床医护人员选择与患者病情相对应的物理性ACT提供决策依据。
- 烧伤 /
- 气道管理 /
- 吸入性损伤 /
- 物理性气道廓清技术
Abstract: Although the treatment of patients with burns combined with inhalation injury has achieved great success, from the perspective of epidemiology, inhalation injury is still the most common cause of death in mass burns. Such patients often suffered burns of large total body surface area, which is difficult to treat, with airway management as one of the core links. Physical airway clearance technique (ACT) acts on a patient's respiratory system by physical means, to discharge secretions and foreign bodies in the airway, achieve airway clearance, and improve gas exchange. In addition, the technique can prevent or alleviate many complications, thereby improving the clinical outcome of patients with inhalation injury. This article reviews the application of physical ACT in the field of inhalation injury, and to provide decision-making basis for clinical medical staff to choose physical ACT corresponding to the patient's condition.
- Burns /
- Airway management /
- Inhalation injury /
- Phisical airway clearance techniques
所有作者均声明不存在利益冲突

HTML全文

1 物理性气道廓清技术的分类

注：HFCWO为高频胸壁振荡

下载: 全尺寸图片幻灯片

2 吸入性损伤患者选择物理性气道廓清技术的思路

下载: 全尺寸图片幻灯片

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