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中华损伤与修复杂志(电子版) ›› 2018, Vol. 13 ›› Issue (06) : 410 -415. doi: 10.3877/cma.j.issn.1673-9450.2018.06.003

所属专题: 文献 指南共识

指南与共识

吸入性损伤临床诊疗全国专家共识(2018版)
中国老年医学学会烧创伤分会, 郭光华1,(), 朱峰2, 黄跃生3,(), 吴军4, 孙永华5, 夏照帆2, 付小兵6   
  1. 1. 南昌大学第一附属医院
    2. 海军军医大学第一附属医院
    3. 陆军军医大学(第三军医大学)第一附属医院
    4. 中山大学附属第一医院
    5. 北京积水潭医院
    6. 解放军总医院
  • 收稿日期:2018-10-09 出版日期:2018-12-01
  • 通信作者: 郭光华, 黄跃生

National experts consensus on clinical diagnosis and treatment of inhalation injury (2018 version)

The Burn and Trauma Branch of Chinese Geriatrics Society, Guanghua Guo1,(), Feng Zhu2, Yuesheng Huang3,(), Jun Wu4, Yonghua Sun5, Zhaofan Xia2, Xiaobing Fu6   

  1. 1. First Affiliated Hospital of Nanchang University
    2. First Affiliated Hospital of Naval Military Medical University
    3. First Affiliated Hospital of Army Medical University (Third Military Medical University)
    4. First Affiliated Hospital, Sun Yat-sen University
    5. Beijing Jishuitan Hospital
    6. People′s Liberation Army General Hospital
  • Received:2018-10-09 Published:2018-12-01
  • Corresponding author: Guanghua Guo, Yuesheng Huang
  • About author:

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    Corresponding authors: Huang Yuesheng, 400038 Chongqing, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Burn Research, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Email:
    Guo Guanghua, 330006 Nanchang, Department of Burns, the First Affiliated Hospital of Nanchang University, Email:
引用本文:

中国老年医学学会烧创伤分会, 郭光华, 朱峰, 黄跃生, 吴军, 孙永华, 夏照帆, 付小兵. 吸入性损伤临床诊疗全国专家共识(2018版)[J/OL]. 中华损伤与修复杂志(电子版), 2018, 13(06): 410-415.

The Burn and Trauma Branch of Chinese Geriatrics Society, Guanghua Guo, Feng Zhu, Yuesheng Huang, Jun Wu, Yonghua Sun, Zhaofan Xia, Xiaobing Fu. National experts consensus on clinical diagnosis and treatment of inhalation injury (2018 version)[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(06): 410-415.

吸入性损伤是由于热力、有毒或刺激性气体吸入引起的呼吸道和肺实质的损伤。目前临床对其认识仍较局限,缺乏有效的诊治规范。本文根据国内已形成的吸入性损伤诊治经验,结合国外的相关研究报道,从吸入性损伤的病理、病理生理改变,临床诊断和评估以及临床治疗等3个方面,系统介绍了吸入性损伤规范化的临床处理措施,为临床诊治提供参考。

Inhalation injury is caused by inhalation of heat, toxic or irritating gases which lead to respiratory and pulmonary parenchyma damage. At present, the clinical understanding about it is still limited and lack of effective diagnosis and treatment standard. Based on the experience of diagnosis and treatment of domestic inhalation injury, combined with reports of international researches, criteria (expert consensus) for inhalation injury were systematically discussed from pathological and pathophysiological changes, clinical diagnosis and evaluation, and clinical treatment, which provides reference for clinical diagnosis and treatment of patients inflicted with inhalation injury.

表1 基于FOB的吸入性损伤AIS分级系统
表2 吸入性损伤的RADS评分(分)
表3 急性呼吸窘迫综合征的柏林诊断标准
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